IndividualActive
Peggy Chan, M.D.
NPI 1609859875 · Nuclear Medicine Physician · Staten Island, NY
Provider details
- NPI number
- 1609859875
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 036168022 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
360 Bard Ave
Staten Island, NY 10310-1666
Phone: (718) 876-2000
Fax: (718) 876-2006
Approximate (ZIP-level) locationGet directions
Mailing address
360 Bard Ave
Staten Island, NY 10310-1666
Additional practice locations (1)
- 676 N Saint Clair St Ste 800Chicago, IL 60611-2978Phone: (312) 695-5753Fax: (312) 695-5645
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.