Provider Demographics
NPI:1891010286
Name:CHAN, YORK SING (DO)
Entity Type:Individual
Prefix:DR
First Name:YORK SING
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3610
Mailing Address - Country:US
Mailing Address - Phone:718-616-1535
Mailing Address - Fax:888-678-3916
Practice Address - Street 1:2116 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3610
Practice Address - Country:US
Practice Address - Phone:718-616-1535
Practice Address - Fax:888-678-3916
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264077207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine