Individual
NORMAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4101 BELL BLVD, BAYSIDE, NY 11361-2858
(718) 428-6700
Mailing address
4101 BELL BLVD, BAYSIDE, NY 11361-2858
(718) 428-6700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009046
NY
Other
Enumeration date
08/16/2019
Last updated
05/18/2021
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