Chan, Tak
Chan, Tak is an sole proprietor health care provider with primary practice located at 13338 41St Rd Ste 2C, Flushing NY 11355-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chan, Tak can be contacted via phone (718) 445-7788.Contact Information
Primary practice address
13338 41St Rd Ste 2C
Flushing NY 11355-3661
Phone: (718) 445-7788
Fax: (718) 445-7789
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 204551 | New York |
Profile Details
| NPI number | 1265437842 |
|---|---|
| LBN Legal business name | Chan, Tak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Dec 14th, 2012 - about 12 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 | 1265437842 | NPPES |
| New York | MEDICAID | 01888839 |
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