Individual provider · Type 1 NPI

Kyle Chan, P.A.C.

Medical Physician Assistant · Long Island City, NY

NPI number 1720016983 Active

Practice location

2510 30th Ave
Long Island City, NY 11102-2448

Call (718) 267-4390 Map

Mailing address

3 Sunnyfield Rd
Hicksville, NY 11801-4822

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X005143 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1720016983

Kyle Chan, P.A.C.'s National Provider Identifier is 1720016983, issued on Jun 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Long Island City, NY. The record was last updated on Jul 8, 2007.