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1114004744
SUSANA K CHAN
JACKSON HEIGHTS, NY
NPI
1114004744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 010893)
Enumeration Date
2006-11-01
Last Update Date
2022-12-13
Business Address
Ms. SUSANA K CHAN PA
7206 NORTHERN BLVD
JACKSON HEIGHTS, NY 11372-1049
Phone number: 866-670-6824
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Mailing Address
Ms. SUSANA K CHAN PA
4860 186TH ST
FRESH MEADOWS, NY 11365-1109
Phone number: 646-271-7166
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