Chan, Jeffrey

Chan, Jeffrey is an individual health care provider with primary practice located at 8906 135Th St Suite 2T, Jamaica NY 11418-2821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Chan, Jeffrey can be contacted via phone (718) 206-7110.

Contact Information

Primary practice address
8906 135Th St Suite 2T Jamaica NY 11418-2821
Phone: (718) 206-7110
Fax: (718) 206-7111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 206686 New York

Profile Details

NPI number 1417918343
LBN Legal business name Chan, Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Feb 14th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417918343 NPPES
New York MEDICAID 01755004

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