Thomas Chan, DO | |
267 Carleton Ave, Central Islip, NY 11722-9029 | |
(631) 348-3254 | |
(631) 348-3031 |
Full Name | Thomas Chan |
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Gender | Male |
Speciality | Pediatrics |
Location | 267 Carleton Ave, Central Islip, 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 |
---|---|---|---|
1932203312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2271241 (New York) | Primary |
Entity Name | New York Institute Of Technology |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048612 PECOS PAC ID: 3779496039 Enrollment ID: O20040121000454 |
Mailing Address | Practice Location Address |
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Thomas Chan, DO 267 Carleton Ave, Central Islip, NY 11722-9029 Ph: (631) 348-3254 | Thomas Chan, DO 267 Carleton Ave, Central Islip, NY 11722-9029 Ph: (631) 348-3254 |
Dr. Donna Marie Mcmahon, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 267 Carleton Ave, Central Islip, NY 11722 Phone: 631-348-3254 | |
Roxane Lacy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave Fl 2, Central Islip, NY 11722 Phone: 631-582-4858 Fax: 631-582-4881 | |
Dr. David Sanchez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722 Phone: 631-582-2228 Fax: 631-582-4881 |