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

Dr. Jaclyn L. Chen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699303073

Dr. Jaclyn L. Chen, MD is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd Rm 20
Stony Brook, NY 11794-0001
Phone: (631) 632-9510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 328566 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699303073
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESApril 9, 2025
Certification dateApril 9, 2025
Mailing address3340 Bainbridge Ave, Bronx, NY 10467-2802

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