Individual
BYOUNG MAN CHAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14708 3RD AVE, WHITESTONE, NY 11357-1103
(347) 822-1625
Mailing address
14708 3RD AVE, WHITESTONE, NY 11357-1103
(347) 822-1625
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029719
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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