Individual
DR. PEGGY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Mailing address
360 BARD AVE, STATEN ISLAND, NY 10310-1666
(718) 876-2000
(718) 876-2006
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
036168022
IL
207U00000X
Nuclear Medicine Physician
Primary
233455
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02685490
—
NY
Enumeration date
11/22/2005
Last updated
03/04/2025
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