MEDICARE: SING CHAN MEDICAL PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1093043499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SING CHAN MEDICAL PLLC

Provider Business Mailing Address
First Line	:	14241 41ST AVE STE P10
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-2451
Country	:	US
Telephone Number	:	718-886-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	14241 41ST AVE STE P10
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-2451
Country	:	US
Telephone Number	:	718-886-6292
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. SING CHAN
Credential	:	MD
Telephone Number	:	718-886-6292

Provider Enumeration Date	:	11/23/2009
Last Update Date	:	11/23/2009

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