Chan, Samuel S
Chan, Samuel S is an sole proprietor health care provider with primary practice located at 202 Canal St Suite 801, New York NY 10013-4517. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist. Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist is his primary health care specialty. Chan, Samuel S can be contacted via phone (212) 406-2301.Contact Information
Primary practice address
202 Canal St Suite 801
New York NY 10013-4517
Phone: (212) 406-2301
Fax: (212) 406-2359
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 193850-1 | New York |
Technologists, Technicians & Other Technical Service Providers / Cardiovascular Invasive Specialist | 246XC2901X | 193850-1 | New York |
Profile Details
NPI number | 1841253267 |
---|---|
LBN Legal business name | Chan, Samuel S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 7th, 2006 |
Last updated | Jun 23rd, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841253267 | NPPES |
New York | Other | 03543166 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
New York | Other | 01617692 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
New York | Other | 03543166 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
New York | Other | 1376729426 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
New York | Other | 1841253267 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
New York | Other | 1376729426 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
New York | Other | 1841253267 | MEDICAID-GROUP PROVIDER (DOCTOR CHAN MEDICAL PRACTICE, PC) |
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