Individual
CHRISTINE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6423 FORT HAMILTON PKWY, BROOKLYN, NY 11219-5520
(718) 567-0890
Mailing address
257 BAY 41ST ST, BROOKLYN, NY 11214-5412
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047039
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01509273
—
NY
Enumeration date
01/03/2008
Last updated
01/03/2008
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