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General NPI Number Information
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NPI Number | 1700742186
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Entity Type | Organization
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Legal Business Name | WAI YING CHAN NP IN PSYCHIATRY PLLC
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 101 NICOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-0001
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Country | US
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Telephone | 212-388-1268
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Fax |
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Provider Business Mailing Address
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Address Line | 112 BOWERY # 833
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City | NEW YORK
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State | NY
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Zip | 10013-4727
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | WAI YING CHAN
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Credential |
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Telephone | 212-388-1268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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