Individual
SUSAN LEE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1167 WANTAGH AVE, WANTAGH, NY 11793-2136
(516) 900-1201
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
201667
NY
Other
Enumeration date
03/02/2007
Last updated
07/29/2015
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