Chan, Wallen Cy
Chan, Wallen Cy is an individual health care provider with primary practice located at 78 Todt Hill Rd , Staten Island NY 10314-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Chan, Wallen Cy can be contacted via phone (718) 448-1122.Contact Information
Primary practice address
78 Todt Hill Rd
Staten Island NY 10314-4528
Phone: (718) 448-1122
Fax: (718) 448-8318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 183203 | New York |
Profile Details
| NPI number | 1043287857 |
|---|---|
| LBN Legal business name | Chan, Wallen Cy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Apr 14th, 2008 - about 17 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 | 1043287857 | NPPES |
| New York | MEDICAID | 01768538 |
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