Thomas Chan DO

NPI 1932203312 - Pediatrics - 208000000X

NPI Details
NPI 1932203312
Gender Male
Enumeration Date 09/07/2006
Last Updated 01/28/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
267 CARLETON AVE
CENTRAL ISLIP NY, 11722-9029, US
Phone (631) 348-3254
Fax (631) 348-3031
Business Location
267 CARLETON AVE
CENTRAL ISLIP NY, 11722-9029, US
Phone (631) 348-3254
Fax (631) 348-3031
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 2271241
Remove 1932203312 NPI Number
 

According to our database, Thomas Chan DO NPI is 1932203312, taxonomy code is 208000000X and license number is 2271241, license state is located at New York. Thomas Chan DO physically located at 267 Carleton Ave, Central Islip NY, 11722-9029. NPI Number Thomas Chan DO has the Individual type.

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1932203312 NPI number is provided on an as is basis without warranty of any kind. 1932203312 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Chan DO are for informational purposes only.