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Contact Information

SAMUEL S CHAN, MD
202 CANAL ST
SUITE 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
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL S CHAN · (Male)

NPI Number 1841253267
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2006
Last updated 06/23/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 193850-1
  • NY Other 1376729426 GROUP NPI (DOCTOR CHAN MEDICAL PRACTICE, PC)
  • NY Other 1841253267 INDIVIDUAL NPI
  • NY Other 03543166 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
  • NY Other 03543166 MEDICAID-GROUP PROVIDER(DOCTOR CHAN MEDICAL PRACTICE, PC)
  • NY Other 01617692 MEDICAID-INDIVIDUAL PROVIDER
  • NY Other 1376729426 NPI-GROUP ORGANIZATION
  • NY Other 1841253267 NPI-INDIVIDUAL PROVIDER
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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