National Provider Identifier Database

JACQUELINE CHAN, MD – NPI #1992931299
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

JACQUELINE CHAN, MD
139 CENTRE ST
SUITE 307
NEW YORK, NY10013-4552
Phone: 212-334-3507
Fax: 212-334-4728
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X
Adult Congenital Heart Disease 207RA0002X
Nuclear Imaging & Therapy 207UN0902X

* Indicates primary specialty

NPI Profile & details for JACQUELINE CHAN

NPI Number 1992931299
Credentials MD
Entity Individual
Enumeration date 06/02/2009
Last updated 11/20/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • NM License #: 246413
  • NY License #: 246413
  • NY Medicaid: 03350121
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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