Individual
LELAND CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
330062
NY
390200000X
Student in an Organized Health Care Education/Training Program
13-3971298
NY
Other
Enumeration date
04/10/2020
Last updated
05/17/2024
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