Individual
DR. VINCENT CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
(212) 241-7105
Mailing address
215 E 96TH ST, NEW YORK, NY 10128-3835
(646) 895-2071
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
61003859
NY
Other
Enumeration date
08/12/2011
Last updated
08/23/2011
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