Doctor Chan Medical Practice, Pc

LBN: Doctor Chan Medical Practice, Pc
Doctor Chan Medical Practice, Pc is an health care organization with primary practice located at 202 Canal St Ste 801 , New York NY 10013-4517. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist. Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist is the primary health care specialty. Doctor Chan Medical Practice, Pc can be contacted via phone (212) 406-2301, or through Chan, Samuel S. via phone (212) 406-2301.

Contact Information

Primary practice address
202 Canal St Ste 801 New York NY 10013-4517
Phone: (212) 406-2301
Fax: (212) 406-2359
Website:
Map and Directions
Authorized official contact:
Name: Chan, Samuel S. Doctor of Medicine (MD)
Phone: (212) 406-2301

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 193850 New York
Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist 246XC2901X 193850 New York

Profile Details

NPI number 1376729426
LBN Legal business name Doctor Chan Medical Practice, Pc
DBA Doing business as
Authorized official Chan, Samuel S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2008
Last updated Jan 8th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376729426 NPPES
New York MEDICAID 01617692

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