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

Dr. Jillian K Chan, MD

Individual provider Neurology Physician · NPI 1003159740

Dr. Jillian K Chan, MD is a Neurology Physician in Ronkonkoma, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
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

650 Hawkins Ave Ste 7
Ronkonkoma, NY 11779-2366
Phone: (631) 737-0055
Fax: (631) 737-0076
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 292652 (NY)

Record details

NPI number1003159740
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2013
Last updated in NPPESOctober 6, 2018
Mailing address650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779-2366

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