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NPI Code Detail

MEDICARE: DR. ALFONSO YU CHAN MD

MEDICARE: DR. ALFONSO YU CHAN MD
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
1207RC0000XCardiovascular Disease Physician108148NY

Other Identifiers

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

General Provider Information

NPI Number : 1558369397
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFONSO YU CHAN MD
Provider Business Mailing Address
First Line : 105 WHEATLEY RD
Second Line :
City : OLD WESTBURY
State : NY
Zip : 11568-1210
Country : US
Telephone Number : 516-625-9240
Fax Number :
Provider Business Practice Location Address
First Line : 6200 BEACH CHANNEL DR
Second Line :
City : ARVERNE
State : NY
Zip : 11692-1409
Country : US
Telephone Number : 718-945-7150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 03/23/2012

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Directions to “ DR. ALFONSO YU CHAN MD” Practice Location

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