Individual
JOENA R CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 ROUTE 208, SUITE 13, MONROE, NY 10950-4648
(845) 783-6266
(845) 783-9570
Mailing address
2 COATES DR, GOSHEN, NY 10924-6758
(845) 651-1400
(845) 651-1512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227895
NY
Other
Enumeration date
06/02/2006
Last updated
09/27/2012
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