Individual provider · NPI-1

Dr. Kent Chan, M.D.

Obstetrics & Gynecology, Gynecologic Oncology · Mineola, NY

NPI number1497754964
StatusActive
Last updated in NPPESJun 10, 2026

Details

NPI
1497754964
Entity type
Individual (NPI-1)
Name
Dr. Kent Chan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2005
Certification date
Jun 10, 2026
Last updated
Jun 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology211374NYYes

Practice location

200 Old Country Rd
Mineola, NY 11501-4235

Phone 516-294-5440 · Fax 516-294-1206

Mailing address

200 Old Country Rd
Mineola, NY 11501-4235

Phone 516-294-5440 · Fax 516-294-1206

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