Individual
DR. COLLIER CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8708 JUSTICE AVE, SUITE CX, ELMHURST, NY 11373-4575
(718) 446-4230
(718) 457-7015
Mailing address
8708 JUSTICE AVE, SUITE CX, ELMHURST, NY 11373-4575
(718) 446-4230
(718) 457-7015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003901
NY
213EP0504X
Public Medicine Podiatrist
N003901
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N003901
NY
213ER0200X
Radiology Podiatrist
N003901
NY
213ES0131X
Foot Surgery Podiatrist
N003901
NY
Other
Enumeration date
05/23/2006
Last updated
06/27/2011
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