Individual
JOCELYN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 215TH ST, BAYSIDE HILLS, NY 11364-1837
(917) 327-7868
Mailing address
5609 215TH ST, BAYSIDE HILLS, NY 11364-1837
(917) 327-7868
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
51026451
NY
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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