Healthcare Provider Details

I. General information

NPI: 1760558514
Provider Name (Legal Business Name): SAU YEE CHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 WILLIAM ST
NEW YORK NY
10038-2612
US

IV. Provider business mailing address

4 STERLING PLZ
ROSLYN NY
11576-3050
US

V. Phone/Fax

Practice location:
  • Phone: 212-312-5382
  • Fax: 212-312-5399
Mailing address:
  • Phone: 516-365-2280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number110999-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: