Chan, Jillian K

Chan, Jillian K is an individual health care provider with primary practice located at 650 Hawkins Ave Ste 7 , Ronkonkoma NY 11779-2366. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Chan, Jillian K can be contacted via phone (631) 737-0055.

Contact Information

Primary practice address
650 Hawkins Ave Ste 7 Ronkonkoma NY 11779-2366
Phone: (631) 737-0055
Fax: (631) 737-0076
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 292652 New York

Profile Details

NPI number 1003159740
LBN Legal business name Chan, Jillian K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Oct 6th, 2018 - about 7 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.

Request for update

Popular Providers