Chan, Peggy

Chan, Peggy is an individual health care provider with primary practice located at 360 Bard Ave , Staten Island NY 10310-1666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as her primary health care specialty. Chan, Peggy can be contacted via phone (718) 876-2000.

Contact Information

Primary practice address
360 Bard Ave Staten Island NY 10310-1666
Phone: (718) 876-2000
Fax: (718) 876-2006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 233455 New York
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 036168022 Illinois

Profile Details

NPI number 1609859875
LBN Legal business name Chan, Peggy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 9th, 2024 - about last year

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 1609859875 NPPES
New York MEDICAID 02685490

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