Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Yan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508515008

Amy Yan is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Licensed in Maryland. Registered with an NPI since 2022.

Licensed in
MD
In the registry since
2022
Specialties on file
2

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-8434
Phone: (631) 444-2975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence D0105991 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508515008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 22, 2022
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-8434

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