institution
Ian Chan Md Pc
Ophthalmologic Surgery Clinic/Center in New York, New York
NPI 1083058432

Ian Chan Md Pc is a Ophthalmologic Surgery Clinic/Center based in New York, NY and is specialized in Ophthalmologic Surgery. Ian Chan Md Pc practices in New York, NY. The NPI Number for Ian Chan Md Pc is 1083058432 and holds a License No. 249201 (New York).

The current practice location address for Ian Chan Md Pc is 139 Centre St Ph 113, New York, NY and can be reached out via phone at 631-213-1668 and via fax at 718-509-6993.

Location: 139 Centre St Ph 113, New York, NY, 10013-4559
institution
Provider Profile Details
NPI Number
1083058432
Provider Name
Ian Chan Md Pc
Credential
Provider Entity Type
Organization
Address
139 Centre St Ph 113, New York, NY, 10013-4559
Phone Number
631-213-1668
Fax Number
718-509-6993
Provider Enumeration Date
04/28/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03580976 05 NY
institution
Provider Business Practice Location Address Details
Address
139 Centre St Ph 113
City
State
Zip
10013
Phone Number
631-213-1668
Fax Number
718-509-6993
person
Provider Business Mailing Address Details
Address
139 Centre St Ph 113
City
State
Zip
10013
Phone Number
631-213-1668
Fax Number
718-509-6993
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ophthalmologic Surgery
Taxonomy
License No.
249201 (New York)
Definition
Definition to come...
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