Individual
LAURA J CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, LCSW-R
Contact information
Practice address
STONY BROOK PSYCHIATRIC ASSOCIATES UFPC, HSC LEVEL 10, ROOM 20, STONY BROOK, NY 11794-8101
(631) 444-2990
(631) 444-1560
Mailing address
STONY BROOK PSYCHIATRIC ASSOCIATES UFPC, HSC LEVEL 10, ROOM 20, STONY BROOK, NY 11794-8101
(631) 444-2990
(631) 444-1560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
R056252-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401211
NY
Other
Enumeration date
01/09/2007
Last updated
05/23/2014
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