National Provider Identifier
Paul Tai-Leung Chan, DO
Paul Tai-Leung Chan, DO is listed in the NPPES registry with a primary specialty of Emergency Medical Services (Emergency Medicine) Physician in Williamsville, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1144269994
- Provider Type
- Individual
- Primary Specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Enumeration Date
- June 06, 2006
- Last Updated
- August 06, 2009
Practice Location
- 6245 Sheridan Dr
- Suite 212
- Williamsville, NY 14221-4834
Phone: (716) 204-4500
Specialties
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1144269994
- Entity Type
- Individual
- Last Name
- Chan
- First Name
- Paul
- Middle Name
- Tai-Leung
- Credential
- DO
- Mailing Street Address
- 6245 Sheridan Dr
- Mailing Address Line 2
- Suite 212
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4834
- Mailing Country
- US
- Mailing Phone
- (716) 204-4500
- Mailing Fax
- (716) 204-4501
- Practice Street Address
- 6245 Sheridan Dr
- Practice Address Line 2
- Suite 212
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4834
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Practice Fax
- (716) 204-4501
- Enumeration Date
- June 06, 2006
- Last Updated
- August 06, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), Emergency Medicine Physician (207P00000X)
- Other Identifiers
- 4222368 (TN, Blue Cross Blue Shield), 1510963 (TN)