Individual
DR. JILLIAN K CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779-2366
(631) 737-0055
(631) 737-0076
Mailing address
650 HAWKINS AVE STE 7, RONKONKOMA, NY 11779-2366
(631) 737-0055
(631) 737-0076
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
292652
NY
Other
Enumeration date
04/01/2013
Last updated
10/06/2018
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