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1083357081
WILSON CHAN
NEW YORK, NY
NPI
1083357081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 048480)
Enumeration Date
2022-04-18
Last Update Date
2022-04-18
Business Address
WILSON CHAN
2162 BROADWAY FL 2
NEW YORK, NY 10024-6620
Phone number: 347-941-0972
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Mailing Address
WILSON CHAN
576 BROADHOLLOW RD
MELVILLE, NY 11747-5002
Phone number: 631-359-5859
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