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General NPI Number Information
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NPI Number | 1154838977
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Entity Type | Organization
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Legal Business Name | MANHATTAN CANAL MEDICAL, P.C.
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Dates
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Enumeration Date | 01/02/2018
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Last Update Date | 01/02/2018
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Provider Practice Location Address
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Address Line | 202 CANAL ST STE 602
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City | NEW YORK
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State | NY
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Zip | 10013-4517
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Country | US
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Telephone | 917-261-2718
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Fax | 917-261-2719
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Provider Business Mailing Address
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Address Line | 202 CANAL ST STE 602
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City | NEW YORK
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State | NY
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Zip | 10013-4517
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Country | US
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Telephone | 917-261-2718
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Fax | 917-261-2719
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Authorized Official
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Title or Position | OWNER
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Name | DR. NORMAN JERMANE CHAN
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Credential | MD
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Telephone | 201-370-4099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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