Individual
MAXINE F CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE FL 6, NEW YORK, NY 10032-3722
(212) 305-3174
Mailing address
180 FORT WASHINGTON AVE FL 6, NEW YORK, NY 10032-3722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328125
NY
207RI0200X
Infectious Disease Physician
Primary
328125
NY
Other
Enumeration date
03/31/2020
Last updated
04/10/2026
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