Individual
DR. CHUN-KIT CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 MOTT ST RM 305, NEW YORK, NY 10013-5097
(212) 791-6968
(212) 791-6983
Mailing address
2 MOTT ST RM 305, NEW YORK, NY 10013-5097
(212) 791-6968
(212) 791-6983
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202125
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02164905
—
NY
01
—
WANQ41
MEDICARE
—
Enumeration date
09/14/2006
Last updated
01/09/2014
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