Individual provider · Type 1 NPI

Judy P. Chan, PA

Surgical Physician Assistant · Bronx, NY

NPI number 1801063995 Active

Practice location

234 E 149th St
Bronx, NY 10451-5504

Mailing address

177 Fort Washington Ave
New York, NY 10032-3733

Other practice locations

  • 177 Fort Washington Ave, New York, NY 10032-3733 · (212) 342-3622

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Surgical Physician Assistant Primary 363AS0400X012561 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1801063995

Judy P. Chan, PA's National Provider Identifier is 1801063995, issued on May 8, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on Jul 21, 2022.