DOCTOR CHAN MEDICAL PRACTICE PC NPI 1376729426

NPI Information

NPI: 1376729426
Provider Name: DOCTOR CHAN MEDICAL PRACTICE, PC
Classification: Specialist/Technologist Cardiovascular - 246XC2901X
Entity Type: Organization

Specialization: Cardiovascular Invasive Specialist

CLIA Number: 33D0943339

Address:
202 CANAL ST STE 801
NEW YORK, NY
ZIP 10013
Phone: (212) 406-2301
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DOCTOR CHAN MEDICAL PRACTICE, PC is a cardiovascular invasive specialist specialist technologist cardiovascular in New York, NY. DOCTOR CHAN MEDICAL PRACTICE, PC NPI is 1376729426. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

202 CANAL ST STE 801
NEW YORK, NY
ZIP 10013-517
Phone: (212) 406-2301
Fax: (212) 406-2359

The provider's authorized official is Samuel S. Chan .
The authorized official title is President and has the following contact phone number (212) 406-2301.

The CLIA number assigned to this NPI record is 33D0943339 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2008 and was last updated on 1/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		193850	NEW YORK	No
2	246XC2901X	Specialist/Technologist Cardiovascular	Cardiovascular Invasive Specialist	193850	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========	OTHER	NEW YORK	TAX ID
2	01617692	MEDICAID	NEW YORK
3	013381	MEDICARE PIN
4	G20217	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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