Chan, David Yat San

Chan, David Yat San is an individual health care provider with primary practice located at 450 Lakeville Rd Suite M41, New Hyde Park NY 11042-1117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chan, David Yat San can be contacted via phone (516) 734-8500.

Contact Information

Primary practice address
450 Lakeville Rd Suite M41 New Hyde Park NY 11042-1117
Fax: (516) 734-8538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D57139 Maryland

Profile Details

NPI number 1780636696
LBN Legal business name Chan, David Yat San
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 12th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780636696 NPPES
Maryland MEDICAID 024902500

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