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Contact Information

DOCTOR CHAN MEDICAL PRACTICE, PC
202 CANAL ST STE 801
NEW YORK, NY10013-4517
 Phone: 212-406-2301
 Fax: 212-406-2359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Invasive Specialist

246XC2901X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DOCTOR CHAN MEDICAL PRACTICE PC · (Female)

NPI Number 1376729426
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2008
Last updated 01/08/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 193850
  • NY Medicaid 01617692
Hospital affiliation(s) Not Available
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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