Individual
KEN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(516) 354-7900
Mailing address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(516) 354-7900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
316444
NY
208M00000X
Hospitalist Physician
Primary
316444
NY
Other
Enumeration date
03/25/2019
Last updated
11/03/2025
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