Organization
UPSTATE WELLNESS AND AESTHETIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE ELROY CHAN NP (CEO)
(518) 428-8610
Entity
Organization
Contact information
Practice address
200 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5394
(518) 456-2000
Mailing address
99 WALL ST STE 2071, NEW YORK, NY 10005-4301
(518) 428-8610
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
01/24/2026
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