| NPI | 1174575989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLIER CHAN President 718-446-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N003901) |
| Additional Taxonomies | 213EP0504X Podiatrist, Public Medicine (Licence: NY N003901) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NY N003901) | |
| 213ER0200X Podiatrist, Radiology (Licence: NY N003901) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: NY N003901) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N003901) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: NY N003901) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-06-27 |