33D0996617 CLIA NUMBER - MELISSA M CHAN MD PLLC

Laboratory Demographics

CLIA Number: 33D0996617

Facility Name: MELISSA M CHAN MD PLLC

Facility Address:
139 CENTRE STREET - PH 104
NEW YORK, NY
ZIP 10013
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Facility Phone Number: 212 343-2536

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417912031

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	33D0996617
LAB Type	Physician Office
Facility Name	MELISSA M CHAN MD PLLC
Street	139 CENTRE STREET - PH 104
City	NEW YORK
State	NY
ZIP	10013
Phone	212 343-2536
CertificateType	4
CertificateEffectiveDate	2/22/2024
CertificateExpirationDate	2/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024