Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 250588 | NY |
NPI | 1033354428 |
---|---|
Provider Name | Wai Ping Chan |
First Address | Flushing, NY 11354-4562 |
Second Address | Flushing, NY 11354 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2008 |
Last Update Date | 12/04/2019 |