Organization · NPI-2

Doctor Chan Medical Practice, PC

Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist · New York, NY

NPI number1376729426
StatusActive
Last updated in NPPESJan 8, 2016

Details

NPI
1376729426
Entity type
Organization (NPI-2)
Legal business name
Doctor Chan Medical Practice, PC
Organization subpart
No
Enumeration date
Jan 18, 2008
Last updated
Jan 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist193850NYYes
207R00000X Internal Medicine193850NY

Practice location

202 Canal St Ste 801
New York, NY 10013-4517

Phone 212-406-2301 · Fax 212-406-2359

Mailing address

202 Canal St Ste 801
New York, NY 10013-4517

Phone 212-406-2301 · Fax 212-406-2359

Authorized official

Samuel S. Chan
President
2124062301

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