Individual
PEARL CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., S.A.S.
Contact information
Practice address
306 GOLD ST, APT. 23B, BROOKLYN, NY 11201-3014
(614) 937-4288
Mailing address
306 GOLD ST, APT. 23B, BROOKLYN, NY 11201-3014
(614) 937-4288
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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