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1720016983
KYLE CHAN
LONG ISLAND CITY, NY
NPI
1720016983
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 005143)
Enumeration Date
2006-06-28
Last Update Date
2007-07-08
Business Address
Mr. KYLE CHAN P.A.C.
2510 30TH AVE
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-267-4390
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Mailing Address
Mr. KYLE CHAN P.A.C.
3 SUNNYFIELD RD
HICKSVILLE, NY 11801-4822
Phone number: 516-932-8584
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