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Organization
MELISSA M CHAN, PLLC
Active
Organization
MELISSA M CHAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MAN-LAI CHAN M.D. (OWNER)
(212) 343-2536
Entity
Organization
Contact information
Practice address
139 CENTRE STREET, SUITE PH 104, NEW YORK, NY 10013-4559
(212) 343-2536
(212) 343-2537
Mailing address
139 CENTRE STREET, SUITE PH 104, NEW YORK, NY 10013-4559
(212) 343-2536
(212) 343-2537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659732
—
NY
Enumeration date
07/02/2006
Last updated
02/18/2021
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