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1821767716
ANDY FATA-CHAN
NEW YORK, NY
NPI
1821767716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 04510001)
Additional Taxonomies
225100000X Physical Therapist
Enumeration Date
2021-09-13
Last Update Date
2023-12-09
Business Address
ANDY FATA-CHAN
182 MULBERRY ST
NEW YORK, NY 10012-4571
Phone number: 734-236-6349
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Mailing Address
ANDY FATA-CHAN
182 MULBERRY ST
NEW YORK, NY 10012-4571
Phone number:
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