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1043287857
WALLEN CY CHAN
STATEN ISLAND, NY
NPI
1043287857
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: NY 183203)
Enumeration Date
2006-03-01
Last Update Date
2008-04-14
Business Address
Dr. WALLEN CY CHAN M.D.
78 TODT HILL RD
STATEN ISLAND, NY 10314-4528
Phone number: 718-448-1122
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Mailing Address
Dr. WALLEN CY CHAN M.D.
4 AIRDALE DR
KENDALL PARK, NJ 08824-1494
Phone number: 718-448-1122
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