Chan, Samuel S

Chan, Samuel S is an sole proprietor health care provider with primary practice located at 202 Canal St Suite 801, New York NY 10013-4517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist. Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist is his primary health care specialty. Chan, Samuel S can be contacted via phone (212) 406-2301.

Contact Information

Primary practice address
202 Canal St Suite 801 New York NY 10013-4517
Phone: (212) 406-2301
Fax: (212) 406-2359
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 193850-1 New York
Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist 246XC2901X 193850-1 New York

Profile Details

NPI number 1841253267
LBN Legal business name Chan, Samuel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jun 23rd, 2017 - about 9 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 1841253267 NPPES
New York Other 03543166 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
New York Other 01617692 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
New York Other 03543166 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
New York Other 1376729426 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
New York Other 1841253267 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
New York Other 1376729426 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)
New York Other 1841253267 MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC)

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