Shih-Han Chan Medical PC
Internal Medicine, Infectious Disease in East Northport, NY. Organization (NPI-2).
NPI number1124364005
StatusActive
Last updated in NPPESMar 4, 2013
Details
- NPI
- 1124364005
- Entity type
- Organization (NPI-2)
- Legal business name
- Shih-Han Chan Medical PC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2012
- Last updated
- Mar 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 253140-1 | NY | Yes |
Practice location
1 Hewitt SqSuite 146
East Northport, NY 11731-2519
Phone 631-271-9151 · Fax 631-271-9155
Mailing address
1 Hewitt SqSuite 146
East Northport, NY 11731-2519
Phone 631-271-9151 · Fax 631-271-9155
Authorized official
Bonnie Omedes
Office Manager
6312719151
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