Chan, Timothy

Chan, Timothy is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Chan, Timothy can be contacted via phone (718) 670-2000.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1669015053
LBN Legal business name Chan, Timothy
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2019
Last updated Oct 18th, 2019 - 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.

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