Angie Chan
Angie Chan is a Physician Assistant in Stony Brook, New York. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2500 Nesconset Hwy Bldg 20BStony Brook, NY 11790-2563
Phone: (631) 864-6647
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1104571801 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2022 |
| Last updated in NPPES | February 10, 2023 |
| Certification date | February 10, 2023 |
| Mailing address | 2500 Nesconset Hwy Bldg 20b, Stony Brook, NY 11790-2563 |
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