EDWIN K CHAN MD PC
Medical Practice at 39 Ave, Flushing, NY

License number
New York 222486
Category
Medical Practice
Type
Specialist
Owner
Name: MS. EMILY LAM
Title: BILLING
Phone: (718) 321-8246
Address
Address 2
13640 39Th Ave STE 6GB, Flushing, NY 11354
PO Box 2625, New York, NY 10009
National Provider ID: 1710113949
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about EDWIN K CHAN MD PC at bizstanding.com

EDWIN K. CHAN, M.D., PC

136-40 39 Ave STE 6GB, Flushing, NY 11354

Registration:
Jan 8, 2008
State ID:
3614573
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Edwin K Chan, 136-40 39 Ave STE 6GB, Flushing, NY 11354 (Physical)
Agent:
C/O The Professional Corporation,Suite 6Gb 136-40 39 Ave SUITE 6GB 136-40 39TH AVENUE, Flushing, NY 11354 (Physical)

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