Individual
JULIA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
65-43 MYRTLE AVE., GLENDALE, NY 11385
(718) 366-7850
(718) 366-7851
Mailing address
505 E. 79TH ST., APT #2H, NEW YORK, NY 10075-0710
(212) 472-1357
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005550-1
NY
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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