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Dr. Jacqueline Chan, MD
Cardiovascular Disease Physician in New York, New York
NPI 1992931299

Jacqueline Chan is a Cardiovascular Disease Physician based in New York, NY and is specialized in Cardiovascular Disease. Jacqueline Chan practices in New York, NY and has the professional credentials of MD. The NPI Number for Jacqueline Chan is 1992931299 and holds a License No. 246413 (New York).

The current practice location address for Jacqueline Chan is 139 Centre St, New York, NY and can be reached out via phone at 212-334-3507 and via fax at 212-334-4728. You can also correspond with Jacqueline Chan through the mailing address at 139 CENTRE ST, NEW YORK, NY - 10013-4552 (mailing address contact number: 212-334-3507).

Location: 139 Centre St, New York, NY, 10013-4552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992931299
Provider Name
Jacqueline Chan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
139 Centre St, New York, NY, 10013-4552
Phone Number
212-334-3507
Fax Number
212-334-4728
Provider Enumeration Date
06/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03350121 05 NY
institution
Provider Business Practice Location Address Details
Address
139 Centre St
City
New York
State
New York
Zip
10013-4552
Phone Number
212-334-3507
Fax Number
212-334-4728
person
Provider Business Mailing Address Details
Address
139 Centre St
City
New York
State
New York
Zip
10013-4552
Phone Number
212-334-3507
Fax Number
212-334-4728
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Adult Congenital Heart Disease
Taxonomy
207RA0002X
License No.
246413 (New York)
Definition
A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
246413 (New York)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Imaging & Therapy
Taxonomy
207UN0902X
License No.
246413 (New Mexico)
Definition
A nuclear medicine physician who specializes in nuclear imaging and therapy.
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