Individual
DR. FUNG MICHAEL CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 MOTT ST, SUITE 608, NEW YORK, NY 10013-5540
(212) 343-8399
(212) 343-1386
Mailing address
128 MOTT ST, SUITE 608, NEW YORK, NY 10013-5540
(212) 343-8399
(212) 343-1386
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
266192-1
NY
Other
Enumeration date
03/21/2011
Last updated
10/30/2016
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