Individual provider · Type 1 NPI

Susana K. Chan, PA

Physician Assistant · Jackson Heights, NY

NPI number 1114004744 Active

Practice location

7206 Northern Blvd
Jackson Heights, NY 11372-1049

Call (866) 670-6824 Map

Mailing address

4860 186th St
Fresh Meadows, NY 11365-1109

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X010893 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114004744

Susana K. Chan, PA's National Provider Identifier is 1114004744, issued on Nov 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jackson Heights, NY. The record was last updated on Oct 9, 2025.