Provider Demographics
NPI:1073073219
Name:CHAN, DANNY (DPM)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:
Last Name:CHAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 5TH AVE RM 1410
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3338
Mailing Address - Country:US
Mailing Address - Phone:718-354-8445
Mailing Address - Fax:347-808-2340
Practice Address - Street 1:385 5TH AVE RM 1410
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3338
Practice Address - Country:US
Practice Address - Phone:212-284-6868
Practice Address - Fax:347-808-2340
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007265213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery