Individual
DR. MING CHEONG DEREK CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7128 BAYVIEW DR, SODUS POINT, NY 14555-9501
(315) 483-6798
(315) 483-6798
Mailing address
7128 BAYVIEW DR, SODUS POINT, NY 14555-9501
(315) 483-6798
(315) 483-6798
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
106299
NY
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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