Provider Demographics
NPI:1902559578
Name:CHAN, CHAK HOI N/A
Entity Type:Individual
Prefix:
First Name:CHAK HOI
Middle Name:N/A
Last Name:CHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3720 PRINCE ST APT 13E
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4451
Mailing Address - Country:US
Mailing Address - Phone:917-916-5444
Mailing Address - Fax:
Practice Address - Street 1:3720 PRINCE ST APT 13E
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4451
Practice Address - Country:US
Practice Address - Phone:917-916-5444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator