| Ken Chan, DO | |
| 
					2800 Marcus Ave Ste 203, New Hyde Park, NY 11042-1113  | |
| (516) 354-7900 | |
| Not Available | 
| Full Name | Ken Chan | 
|---|---|
| Gender | Male | 
| Speciality | Internal Medicine | 
| Location | 2800 Marcus Ave Ste 203, New Hyde Park, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972063832 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 316444 (New York) | Primary | 
| Entity Name | North Shore-lij Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ken Chan, DO 2800 Marcus Ave Ste 203, New Hyde Park, NY 11042-1113 Ph: (516) 354-7900  | Ken Chan, DO 2800 Marcus Ave Ste 203, New Hyde Park, NY 11042-1113 Ph: (516) 354-7900  | 
Dr. Farheen Hasan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-7000  | |
Carylann Hadjiyane, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1991 Marcus Ave, Suite 101, New Hyde Park, NY 11042 Phone: 516-365-4949 Fax: 516-365-5462  | |
Paul S. Berg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042 Phone: 516-684-9229 Fax: 516-977-8589  | |
Dr. Michael Jason Levine, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1999 Marcus Ave Ste 220, New Hyde Park, NY 11042 Phone: 516-869-5400 Fax: 516-869-5800  | |
Gisele Wolf-klein, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2800 Marcus Ave, Suite 200, New Hyde Park, NY 11042 Phone: 516-708-2522 Fax: 516-708-2570  | |
Dr. Monty Max Bodenheimer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3003 New Hyde Park Rd, Ste 406, New Hyde Park, NY 11042 Phone: 516-719-0102 Fax: 516-358-5403  | |
Michael Xin Chen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-3377  |