IndividualActive
Edward Chan, M.D.
NPI 1477596997 · Pediatric Hematology & Oncology Physician · Stony Brook, NY
Provider details
- NPI number
- 1477596997
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 236560 (NY)
Practice location
3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-9448
Phone: (631) 638-0965
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2015-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.