Individual
DR. ALFONSO YU CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
(718) 945-7150
Mailing address
105 WHEATLEY RD, OLD WESTBURY, NY 11568-1210
(516) 625-9240
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
108148
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01696753
—
NY
Enumeration date
07/13/2005
Last updated
03/23/2012
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