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

Tyler Chan

Individual provider Medical Physician Assistant · NPI 1174166433

Tyler Chan is a Medical Physician Assistant in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-1419
Fax: (718) 334-5006
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 024876 (NY)

Record details

NPI number1174166433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2019
Last updated in NPPESApril 23, 2020
Certification dateApril 23, 2020
Mailing address7901 Broadway, Elmhurst, NY 11373-1329

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