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DR. EDWARD CHAN M.D.
NPI 1477596997
Pediatrics - Pediatric Hematology-Oncology in Stony Brook, NY

Active since June 13, 2006
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794(631) 638-0965 Get Directions Write a Review

NPPES record last updated: April 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward Chan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD CHAN M.D. (NPI 1477596997) is an individual pediatric hematology-oncology provider in Stony Brook, New York, licensed in New York (236560) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1477596997
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. EDWARD CHANCredential: M.D.
Location Address3 EDMUND D PELLEGRINO RDStony Brook, NY 11794-9448
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650
Phone(631) 638-0965
Sole ProprietorNo
Enumeration DateJune 13, 2006
Last NPPES UpdateApril 23, 2015
✔ NPI 1477596997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in NY · 236560
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
3 EDMUND D PELLEGRINO RD, Stony Brook, NY 11794
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JULIA SCHEUERMANN NP
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0800
KRYSTAL DANIELLE AIROLA M.D.
Radiology (Diagnostic Radiology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-1000
MISS JENNIFER LYN FITZGIBBON MS RD CDN
Dietitian, Registered
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0851
DR. MICHAEL ABRAMOV M.D.
Radiology (Diagnostic Radiology)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (718) 594-7809
MINYI TAN MD
Anesthesiology (Pain Medicine)
3 EDMUND D PELLEGRINO RD, STONY BROOK ANAESTHESIOLOGY - PAIN MANAGEMENT CENTER
STONY BROOK, NY 11794
Suffolk County (631) 638-0800
DR. SYLVIA K WOOD DNP, ANP-BC
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 444-3577
DR. ANASTASIA BAKOULIS D.O.
Surgery
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-1000
RUBIN GUO NP
Nurse Practitioner (Adult Health)
3 EDMUND D PELLEGRINO RD
STONY BROOK, NY 11794
Suffolk County (631) 638-0916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Chan's NPI number?

The NPI number for Edward Chan is 1477596997. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Edward Chan located?

Edward Chan practices at 3 Edmund D Pellegrino Rd, Stony Brook, NY 11794. The listed phone number is (631) 638-0965.

What is Edward Chan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Edward Chan was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.