Individual
JASON CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7656
Mailing address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
275264
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
275264
NY
Other
Enumeration date
02/20/2014
Last updated
05/14/2024
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