Individual
DR. EDWARD CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794-9448
(631) 638-0965
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
236560
NY
Other
Enumeration date
06/13/2006
Last updated
04/23/2015
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