Angie Chan
NPI #1104571801 in Stony Brook, New York
Provider Information
- NPI Number
- 1104571801
- Entity Type
- Individual
- Name
- Angie Chan
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 21, 2022
- Last Updated
- Feb 10, 2023
Practice Location
- Address
- 2500 NESCONSET HWY BLDG 20B
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-2563
- Phone
- (631) 864-6647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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