Individual
DR. CHANA MAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1039 BAY 32ND ST, FAR ROCKAWAY, NY 11691-1848
(516) 220-1824
Mailing address
1039A BAY 32ND STREET, FAR ROCKAWAY, NY 11691-1848
(516) 220-1824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034621-1
NY
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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