Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Enoch Chung Chan, MD

Individual provider Internal Medicine Physician · NPI 1356309603

Dr. Enoch Chung Chan, MD is a Psychiatry in Bohemia, New York. Graduated from New York Medical College in 1993, 33 years ago. Practices with Outreach Development Corporation, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
33
Trained at
New York Medical College
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1461 Lakeland Ave Unit 14
Bohemia, NY 11716-2174
Phone: (631) 218-8800
Fax: (631) 218-8801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 200300 (NY)

Record details

NPI number1356309603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2006
Last updated in NPPESAugust 28, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1993 (33 years in practice)
Group practice Outreach Development Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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