Individual
DR. KEVIN LEE CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KEVIN CHAN
Contact information
Practice address
210 CANAL ST, 603, NEW YORK, NY 10013-4155
(212) 349-9682
(212) 349-1772
Mailing address
210 CANAL ST, 603, NEW YORK, NY 10013-4155
(212) 349-9682
(212) 349-1772
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044175
NY
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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