Individual provider · Type 1 NPI

Timothy Chan, PA-C

Medical Physician Assistant · Flushing, NY

NPI number 1669015053 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 670-2000 Map

Mailing address

10 Yorkshire Rd
New Hyde Park, NY 11040-3612

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1669015053

Timothy Chan, PA-C's National Provider Identifier is 1669015053, issued on Oct 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flushing, NY. The record was last updated on Oct 18, 2019.