# JKAN GASTROENTEROLOGY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093034688
- **Authorized official:** NANCY LAU M.D. (OWNER PHYSICIAN)
- **Authorized official phone:** (917) 607-7488

## Contact information

- **Practice address:** 115 BROADWAY STE 1800, NEW YORK, NY 10006
- **Practice address phone:** (212) 388-1062
- **Practice address fax:** (212) 388-1063
- **Mailing address:** 115 BROADWAY STE 1800, NEW YORK, NY 10006-1652
- **Mailing address phone:** (212) 388-1062
- **Mailing address fax:** (212) 388-1063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 197142 | NY | Yes |

## Other

- **Enumeration date:** 05/22/2010
- **Last updated:** 03/15/2019