Individual
ANDY FATA-CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 MULBERRY ST, NEW YORK, NY 10012-4571
(734) 236-6349
Mailing address
182 MULBERRY ST, NEW YORK, NY 10012-4571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04510001
NY
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/13/2021
Last updated
12/09/2023
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