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

Jeffrey Chung Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790536423

Jeffrey Chung Chan is a Student in an Organized Health Care Education/Training Program in Flushing, New York. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 661-7305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790536423
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2024
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address5645 Main St, Flushing, NY 11355-5045

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