Organization
DOCTOR CHAN MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S. CHAN M.D. (PRESIDENT)
(212) 406-2301
Entity
Organization
Contact information
Practice address
202 CANAL ST STE 801, NEW YORK, NY 10013-4517
(212) 406-2301
(212) 406-2359
Mailing address
202 CANAL ST STE 801, NEW YORK, NY 10013-4517
(212) 406-2301
(212) 406-2359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
193850
NY
246XC2901X
Cardiovascular Invasive Specialist/Technologist
Primary
193850
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01617692
—
NY
Enumeration date
01/18/2008
Last updated
01/08/2016
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