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1215442082
JUSTIN CHAN
STATEN ISLAND, NY
NPI
1215442082
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 042572-1)
Enumeration Date
2017-12-02
Last Update Date
2017-12-02
Business Address
JUSTIN CHAN
33 RICHMOND HILL RD
STATEN ISLAND, NY 10314-5950
Phone number: 718-982-6340
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Mailing Address
JUSTIN CHAN
56 STAGE LN
STATEN ISLAND, NY 10304-4849
Phone number:
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