Individual
BRIAN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(718) 951-2955
Mailing address
2443 W 1ST ST, BROOKLYN, NY 11223-5928
(917) 293-5537
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024478-01
NY
Other
Enumeration date
02/14/2019
Last updated
05/25/2023
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