Individual
JOHN R CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMC - DEPT. OF MEDICINE, 111 E. 210TH STREET, BRONX, NY 10467
(718) 920-3831
Mailing address
35 BUENA VISTA DR, HASTINGS ON HUDSON, NY 10706-1103
(718) 920-3831
(718) 430-2968
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
149278
NY
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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