SUSAN LEE CHAN (NPI# 1548399173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548399173 |
Entity Type | Individual |
Full Name | SUSAN LEE CHAN |
Credential | M.D. |
Practice Address |
1167 Wantagh Ave Wantagh NY 11793-2136 |
Mailing Address |
2800 Marcus Ave New Hyde Park NY 11042-1113 |
Practice Telephone | 5169001201 |
Mailing Telephone | 5166226000 |
Enumeration Date | 2007-03-02 |
Last Update Date | 2015-07-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
201667 | NY | Allopathic & Osteopathic Physicians |
Street Address |
1167 WANTAGH AVE |
City | WANTAGH |
State | NY |
Zip Code | 11793-2136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861519316 | Christine Myers-doran | Pediatrics | 1167 Wantagh Ave, Wantagh, NY 11793-2136 | 2007-03-22 |
1053445346 | Justin Lacorte | Pediatrics | 1167 Wantagh Ave, Wantagh, NY 11793-2136 | 2007-03-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134765548 | Wantagh Pharmacy Inc | Pharmacy | 1165 Wantagh Ave, Wantagh, NY 11793 | 2019-11-20 |
1003356007 | Mansi Barai | Early Intervention Provider Agency | 1555 Jennie Road, Wantagh, NY 11793 | 2017-02-24 |
1659729077 | Lauren Kronowitz | Chiropractor | 1400 Wantagh Ave Ste 209, Wantagh, NY 11793 | 2016-05-26 |
1508223835 | Sheetal Nair | Behavior Technician | 10 Old Jerusalem Rd, Wantagh, NY 11793 | 2016-01-18 |
1982942272 | Comprehensive Mri of New York, P.C. | Clinic/Center | 1165 Wantagh Avenue, Wantagh, NY 11793 | 2013-01-22 |
1396009189 | Jacqueline Raffaele | Social Worker | 3375 Park Ave Ste 4001, Wantagh, NY 11793 | 2012-06-27 |
1700152493 | Rosalind Kay Safir | Speech-Language Pathologist | 2850 North Jerusalem Rd, Wantagh, NY 11793 | 2012-03-27 |
1902174675 | Stacey Lee Barrett | Registered Nurse | 2250 Northjerusalem Road, Nassau Boces Cca, Wantagh, NY 11793 | 2011-12-08 |
1760705917 | Joseph Hoffman | Pharmacist | 646 Wantagh Avenue, Wantagh, NY 11793 | 2010-03-02 |
1003146119 | Maryhaven Center of Hope Inc. | Community/Behavioral Health | 2957 Burns Avenue, Wantagh, NY 11793 | 2010-01-12 |
Find all providers in zip 11793 |
Taxonomy Code | 207PP0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Pediatric Emergency Medicine |
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700317443 | April Michelle Roma Venn | Emergency Medicine | Department of Emergency Medicine, 622 W 168th St, Vc-260, New York, NY 10032 | 2017-03-24 |
1881021046 | Linda M Bacon | Emergency Medicine | 595 Willoughby Ave, Brooklyn, NY 11206-6811 | 2013-10-02 |
1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
1568800324 | Cloty Victoria Toro | Emergency Medicine | 11 Havenwood Rd, Staten Island, NY 10301-2718 | 2013-06-13 |
1518223973 | Linell De-silva Skeene | Emergency Medicine | 25 Dunhill Rd, New Hyde Park, NY 11040-2248 | 2012-04-10 |
1073812038 | David Michael Pinter | Emergency Medicine | 14001 Jewel Ave Apt 2, Flushing, NY 11367 | 2011-03-16 |
1306157375 | Zaira Rivera-diaz | Emergency Medicine | 3315 Rochambeau Ave Fl 2, Bronx, NY 10467-2848 | 2010-06-24 |
1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
1558500504 | Janienne Ellen Kondrich | Emergency Medicine | 525 E 68th St # M130, New York, NY 10065-4870 | 2009-02-16 |
1780702647 | Eric Weinberg | Emergency Medicine | Lijmc-dept of Emergency Medicine - Peds Em, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2007-03-27 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.