Susan Lee Chan, MD | |
1167 Wantagh Ave, Wantagh, NY 11793-2136 | |
(516) 900-1201 | |
Not Available |
Full Name | Susan Lee Chan |
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Gender | Female |
Speciality | Emergency Medicine - Pediatric Emergency Medicine |
Location | 1167 Wantagh Ave, Wantagh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548399173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | 201667 (New York) | Primary |
Entity Name | Optum Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Entity Name | Optum Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
Mailing Address | Practice Location Address |
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Susan Lee Chan, MD 2800 Marcus Ave, New Hyde Park, NY 11042-1113 Ph: (516) 622-6000 | Susan Lee Chan, MD 1167 Wantagh Ave, Wantagh, NY 11793-2136 Ph: (516) 900-1201 |
Matthew Scro, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Stratford Rd, Wantagh, NY 11793 Phone: 516-551-8079 |