SUSAN LEE CHAN


Address: 1167 Wantagh Ave, Wantagh, NY 11793-2136
Phone: 5169001201

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PP0204X Emergency Medicine
Specialization: Pediatric Emergency Medicine
201667 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1167 WANTAGH AVE
City WANTAGH
State NY
Zip Code 11793-2136

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207PP0204X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Pediatric Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and state

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

Competitor

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City WANTAGH
Zip Code 11793

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Dataset Information

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.

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