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Contact Information

WALLACE P CHAN, MD
2200 NORTHERN BLVD
SUITE 111
GREENVALE, NY11548-1219
 Phone: 516-325-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALLACE P CHAN · (Male)

NPI # 1164624334
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2007
Last updated 05/03/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 244953
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • PLAINVIEW HOSPITAL - (Acute Care)
    888 OLD COUNTRY ROAD
    PLAINVIEW, NY 11803
  • ST JOSEPH HOSPITAL - (Acute Care)
    4295 HEMPSTEAD TURNPIKE
    BETHPAGE, NY 11714
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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