Dr. Jillian K Chan
Neurologist
650 Hawkins Ave Ste 7
Ronkonkoma
, New York 11779-2366
Dr. Jillian K Chan
Neurologist
650 Hawkins Ave Ste 7
Ronkonkoma
, New York 11779-2366
(631) 737-0076
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Jillian K Chan
- 650 Hawkins Ave Ste 7
- Ronkonkoma, NY
- Zip : 11779-2366
- Fax : (631) 737-0076
- Phone : (631) 737-0055
Second Address
- Dr. Jillian K Chan
- 650 Hawkins Ave Ste 7
- Ronkonkoma, NY
- Zip : 11779-2366
- Fax : (631) 737-0076
- Phone : (631) 737-0055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 292652 | NY |
National Provider Identifier
| NPI | 1003159740 |
|---|---|
| Provider Name | Dr. Jillian K Chan |
| First Address | Ronkonkoma, NY 11779-2366 |
| Second Address | Ronkonkoma, NY 11779-2366 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2013 |
| Last Update Date | 06/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.