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Individual

LAI YUI CHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13515 38TH AVE # GF, FLUSHING, NY 11354-4466
(646) 912-0132
Mailing address
13515 38TH AVE # GF, FLUSHING, NY 11354-4466

Taxonomy

Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
921001291
OPTICAL
Enumeration date
02/06/2023
Last updated
02/06/2023
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