Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MT199956 | PA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 282881 | NY |
NPI | 1003103615 |
---|---|
Provider Name | Dr. Norman Jermane Chan |
First Address | New York, NY 10013-4517 |
Second Address | New York, NY 10013-4517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2011 |
Last Update Date | 15/01/2018 |