Individual
MS. JUDY P. CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5000
Mailing address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 342-3622
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
NY
363AS0400X
Surgical Physician Assistant
Primary
012561
NY
Other
Enumeration date
05/08/2008
Last updated
07/21/2022
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