Individual
DR. RICHARD CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
139 CENTRE ST, STE 712, NEW YORK, NY 10013-4557
(212) 226-8027
(212) 226-5034
Mailing address
139 CENTRE ST, STE 712, NEW YORK, NY 10013-4557
(212) 226-8027
(212) 226-5034
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
180607
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01550825
—
NY
Enumeration date
02/08/2006
Last updated
09/30/2014
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