Individual
MRS. DORIS CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
65 CROMWELL AVE, STATEN ISLAND, NY 10304-3944
(718) 667-8100
Mailing address
139 CENTRE ST STE 307, NEW YORK, NY 10013-4554
(212) 334-3507
(646) 366-0469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
303895
NY
207RC0000X
Cardiovascular Disease Physician
303895
NY
207RI0011X
Interventional Cardiology Physician
Primary
303895
NY
Other
Enumeration date
04/04/2013
Last updated
04/04/2023
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