Provider Demographics
NPI:1184872582
Name:JANE CHAN, M.D., P.C.
Entity type:Organization
Organization Name:JANE CHAN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-962-1300
Mailing Address - Street 1:225 VETERANS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4436
Mailing Address - Country:US
Mailing Address - Phone:914-962-1300
Mailing Address - Fax:
Practice Address - Street 1:225 VETERANS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4436
Practice Address - Country:US
Practice Address - Phone:914-962-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-28
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175507174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDP1784OtherRAILROAD, MEDICARE