Ian Chan Md Pc

LBN: Ian Chan Md Pc
Ian Chan Md Pc is an health care organization with primary practice located at 139 Centre St Ph 113 , New York NY 10013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ophthalmologic Surgery, which is considered as the primary health care specialty. Ian Chan Md Pc can be contacted via phone (631) 213-1668, or through Chan, Ian via phone (631) 213-1668.

Contact Information

Primary practice address
139 Centre St Ph 113 New York NY 10013
Phone: (631) 213-1668
Fax: (718) 509-6993
Website:
Map and Directions
Authorized official contact:
Name: Chan, Ian Doctor of Medicine (MD)
Phone: (631) 213-1668

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ophthalmologic Surgery 261QS0132X 249201 New York

Profile Details

NPI number 1083058432
LBN Legal business name Ian Chan Md Pc
DBA Doing business as
Authorized official Chan, Ian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2013
Last updated Sep 3rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083058432 NPPES
New York MEDICAID 03580976

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