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1518587773
SAMUEL CHAN
STATEN ISLAND, NY
NPI
1518587773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045102)
Enumeration Date
2020-04-17
Last Update Date
2023-07-17
Business Address
SAMUEL CHAN
143 DARNELL LN
STATEN ISLAND, NY 10309-1954
Phone number: 718-227-6244
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Mailing Address
SAMUEL CHAN
143 DARNELL LN
STATEN ISLAND, NY 10309-1954
Phone number:
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