TODT HILL ENDOSCOPY, P.C.
Anesthesiologist Assistant at Todt Hill Rd, Staten Island, NY

License number
New York 094864
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: DR. WALLEN CHAN MD
Title: PRESIDENT
Phone: (718) 448-1122
Address
Address
78 Todt Hill Rd SUITE 203, Staten Island, NY 10314
National Provider ID: 1538441902
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TODT HILL ENDOSCOPY, PC

Brooklyn, NY  -  Staten Island, NY

Registration:
Aug 30, 2011
Addresses:
C/O Richard J Girasole, Brooklyn, NY 11228 (Physical)
78 Todt Hl Rd, Staten Island, NY 10314 (Physical)
State ID:
4136389
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Wallen Chan, 78 Todt Hl Rd, Staten Island, NY 10314 (Physical)

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