Wallen Cy Chan M.D.

NPI 1043287857 - Internal Medicine - 207RG0100X

NPI Details
NPI 1043287857
Gender Male
Enumeration Date 03/01/2006
Last Updated 04/14/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
STATEN ISLAND NY, 10314-4528, US
Phone (718) 448-1122
Fax (718) 448-8318
Business Location
KENDALL PARK NJ, 08824-1494, US
Phone (718) 448-1122
Fax (718) 448-8318
Taxonomy Code 207RG0100X
License State New York
License Number 183203
Remove 1043287857 NPI Number

According to our database, Dr. Wallen Cy Chan M.D. NPI is 1043287857, taxonomy code is 207RG0100X and license number is 183203, license state is located at New York. Wallen Cy Chan M.D. physically located at 78 Todt Hill Rd, Staten Island NY, 10314-4528. NPI Number Wallen Cy Chan M.D. has the Individual type.

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1043287857 NPI number is provided on an as is basis without warranty of any kind. 1043287857 is maintained by the National Plan & Provider Enumeration System. The contents of Wallen Cy Chan M.D. are for informational purposes only.