Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andy Fata-Chan

Individual provider Physical Therapist · NPI 1821767716

Andy Fata-Chan is a Physical Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

182 Mulberry St
New York, NY 10012-4571
Phone: (734) 236-6349
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04510001 (NY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1821767716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESDecember 9, 2023
Certification dateDecember 9, 2023

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