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Individual

MR. EDWARD N. CHAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
59-16 174TH STREET, LOWER LEVEL, FRESH MEADOWS, NY 11365-1539
(718) 670-1512
(718) 747-1262
Mailing address
59-16 174TH STREET, LOWER LEVEL, FRESH MEADOWS, NY 11365-1539
(718) 670-1512
(718) 747-1262

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
215597
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02567260
NY
Enumeration date
12/23/2005
Last updated
12/24/2009
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