MEDICARE: SING CHAN M.D.

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	207RG0100X	Gastroenterology Physician	192380	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225053523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SING CHAN M.D.

Provider Business Mailing Address
First Line	:	3808 UNION ST
Second Line	:	STE 3N
City	:	FLUSHING
State	:	NY
Zip	:	11354-5670
Country	:	US
Telephone Number	:	718-886-6292
Fax Number	:	646-224-8549

Provider Business Practice Location Address
First Line	:	3808 UNION ST
Second Line	:	STE 3N
City	:	FLUSHING
State	:	NY
Zip	:	11354-5670
Country	:	US
Telephone Number	:	516-238-6855
Fax Number	:	646-224-8549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	09/18/2018

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Directions to “ SING CHAN M.D.” Practice Location

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