Individual provider · Type 1 NPI

Tyler Chan

Medical Physician Assistant · Elmhurst, NY

NPI number 1174166433 Active

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Fax (718) 334-5006

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X024876 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1174166433

Tyler Chan's National Provider Identifier is 1174166433, issued on Oct 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Elmhurst, NY. The record was last updated on Apr 23, 2020.