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Individual

DR. KRISTIANNA FATA-CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2 W 45TH ST STE 201, NEW YORK, NY 10036-4269
(734) 664-1649
Mailing address
3040 21ST ST PH 6, ASTORIA, NY 11102-4453
(734) 664-1649

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
045135
NY

Other

Enumeration date
03/08/2020
Last updated
08/01/2024
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