Individual
KATIE WAI-LING CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7000
Mailing address
30 BIRCHWOOD PARK DR, JERICHO, NY 11753-2202
(516) 603-3344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001306029
VA
163W00000X
Registered Nurse
773951
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
152651
NY
Other
Enumeration date
07/10/2023
Last updated
09/10/2025
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