Dr. Wallen Cy Chan
Gastroenterologist
78 Todt Hill Rd
Staten Island
, New York 10314-4528
Dr. Wallen Cy Chan
Gastroenterologist
78 Todt Hill Rd
Staten Island
, New York 10314-4528
(718) 448-8318
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Wallen Cy Chan
- 4 Airdale Dr
- Kendall Park, NJ
- Zip : 08824-1494
- Fax : (718) 448-8318
- Phone : (718) 448-1122
Second Address
- Dr. Wallen Cy Chan
- 78 Todt Hill Rd
- Staten Island, NY
- Zip : 10314-4528
- Fax : (718) 448-8318
- Phone : (718) 448-1122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 183203 | NY |
National Provider Identifier
| NPI | 1043287857 |
|---|---|
| Provider Name | Dr. Wallen Cy Chan |
| First Address | Kendall Park, NJ 08824-1494 |
| Second Address | Staten Island, NY 10314-4528 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2006 |
| Last Update Date | 14/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01768538 | (05) | NY |
| F93067 | (02) | NY |
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.