Organization
BRIGHT BAY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENOCH CHUNG CHAN MD (MD/OWNER)
(631) 218-8800
Entity
Organization
Contact information
Practice address
1461 LAKELAND AVE UNIT 14, BOHEMIA, NY 11716-2174
(631) 218-8800
(631) 218-8801
Mailing address
1461 LAKELAND AVE UNIT 14, BOHEMIA, NY 11716-2174
(631) 218-8800
(631) 218-8801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300
NY
Other
Enumeration date
01/18/2008
Last updated
09/04/2008
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