Individual
WALLACE PETER CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 NORTHERN BLVD, SUITE 111, GREENVALE, NY 11548-1219
(516) 325-7500
Mailing address
2200 NORTHERN BLVD, SUITE 111, GREENVALE, NY 11548-1219
(516) 325-7500
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
244953
NY
Other
Enumeration date
06/01/2007
Last updated
05/03/2017
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