Individual provider · NPI-1

Dr. Samuel S Chan, M.D.

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

NPI number1841253267
StatusActive
Last updated in NPPESJun 23, 2017

Details

NPI
1841253267
Entity type
Individual (NPI-1)
Name
Dr. Samuel S Chan
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 7, 2006
Last updated
Jun 23, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist193850-1NYYes
207RC0000X Internal Medicine, Cardiovascular Disease193850-1NY

Other names

  • Sheung-Kwun Samuel Chan (Former Name)

Practice location

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

Phone 212-406-2301 · Fax 212-406-2359

Mailing address

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

Phone 212-406-2301 · Fax 212-406-2359

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