ETHAN CHAN

NEW YORK, NY
NPI1710671565
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NV  1164)
Additional Taxonomies152W00000X Optometrist
(Licence: NY  ORT010014)
Enumeration Date2023-06-05
Last Update Date2024-09-12
Business Address
Dr. ETHAN CHAN O.D.
1153 2ND AVE
NEW YORK, NY 10065-8505
Phone number: 212-421-3655
Mailing Address
Dr. ETHAN CHAN O.D.
2840 JACKSON AVE APT 12M
LONG ISLAND CITY, NY 11101-3304
Phone number: 626-373-4388