Individual
TIMOTHY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
10 YORKSHIRE RD, NEW HYDE PARK, NY 11040-3612
(917) 502-6646
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/18/2019
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