Individual
CALVIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2071 86TH ST, BROOKLYN, NY 11214-3203
(718) 355-9656
Mailing address
2121 W 10TH ST, BROOKLYN, NY 11223-3525
(646) 778-9889
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009619
NY
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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