Individual
BENJAMIN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3120 KINGSBRIDGE AVE APT 2D, BRONX, NY 10463-3928
(929) 531-2970
Mailing address
3120 KINGSBRIDGE AVE APT 2D, BRONX, NY 10463-3928
(929) 531-2970
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046437
NY
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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