Provider Demographics
NPI:1407879026
Name:CHAN, CINDY HOYING (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:HOYING
Last Name:CHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:1201 NOTT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-2589
Practice Address - Country:US
Practice Address - Phone:518-382-7500
Practice Address - Fax:518-382-7572
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213288207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY110250OtherMVP
NY40S431OtherEMPIRE BC
NY7645028OtherAETNA
NY200019OtherSENIOR WHOLE HEALTH
NY070124000059OtherFIDELIS
NY10062491OtherCDPHP
NY57699OtherGHI/HMO
NY000499881001OtherBSNENY
NY02256811Medicaid
NY110250OtherMVP
NY57699OtherGHI/HMO