Individual
DR. ALICE MAN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
139 CENTRE ST, SUITE 803, NEW YORK, NY 10013-4408
(212) 406-1968
(212) 431-1044
Mailing address
202 SHORE RD, DOUGLASTON, NY 11363-1118
(718) 428-2380
(718) 353-5626
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
001433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001433
STATE LICENSE NUMBER
NY
05
—
01690055
—
NY
Enumeration date
11/15/2006
Last updated
08/06/2010
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