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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

NPI Number 1376729426
LBN Legal business name DOCTOR CHAN MEDICAL PRACTICE, PC
Authorized official SAMUEL CHAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2008
Last updated 01/08/2016 - About 10 years ago
Identifiers
NY License # 193850
NY Medicaid 01617692
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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