Individual
DR. PARD H CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
50 OVERLOOK BLVD, NANUET, NY 10954-5290
(845) 426-2044
Mailing address
50 OVERLOOK BLVD, NANUET, NY 10954-5290
(845) 426-2044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUV004766
NY STATE LICENSE #
NY
Enumeration date
12/06/2006
Last updated
04/26/2017
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