Provider Demographics
NPI:1275217226
Name:DANNY CHAN DPM PC
Entity Type:Organization
Organization Name:DANNY CHAN DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:646-974-8723
Mailing Address - Street 1:50 HARRISON ST PH 494
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6064
Mailing Address - Country:US
Mailing Address - Phone:646-974-8723
Mailing Address - Fax:877-540-0077
Practice Address - Street 1:39 W 32ND ST RM 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3844
Practice Address - Country:US
Practice Address - Phone:646-974-8723
Practice Address - Fax:877-540-0077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty