Individual
DR. CHERRY MAR-CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 BRUNSWICK ST FL 1, STATEN ISLAND, NY 10314-6017
(718) 983-0660
Mailing address
41 BRUNSWICK ST FL 1, STATEN ISLAND, NY 10314-6017
(718) 983-0660
(718) 983-7523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102544
UHC MEDICAID/MEDICARE
NY
05
—
02208437
—
NY
01
—
102400
GHI HMO
NY
01
—
150258
CONSUMER HEALTH NETWORK
NY
01
—
203485113
NYS TAX ID
NY
01
—
2155690
UNITED HEALTH CARE
NY
01
—
2793255
AETNA HMO/QPOS
NY
01
—
7927339
AETNA PPO
NY
01
—
P2552417
OXFORD
NY
Enumeration date
02/09/2006
Last updated
11/11/2019
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