Individual
WAI YING CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(212) 388-1268
Mailing address
310 W 72ND ST STE 1F, NEW YORK, NY 10023-2999
(201) 568-8288
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
406052
NY
Other
Enumeration date
07/03/2024
Last updated
12/11/2024
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