Individual
SIU-PUN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
584 FOREST AVE, STATEN ISLAND, NY 10310-2512
(718) 226-5613
Mailing address
584 FOREST AVE, STATEN ISLAND, NY 10310-2512
(718) 226-5613
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
183058
NY
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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