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ANGIE CHAN
NPI 1104571801
Physician Assistant in Stony Brook, NY

Active since February 21, 2022
2500 NESCONSET HWY BLDG 20B, STONY BROOK, NY 11790(631) 864-6647 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2023, Feb 21, 2022 (2 updates tracked since 2022).

About Angie Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE CHAN (NPI 1104571801) is an individual physician assistant in Stony Brook, New York and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1104571801
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANGIE CHAN
Location Address2500 NESCONSET HWY BLDG 20BStony Brook, NY 11790-2563
Mailing Address2500 Nesconset Hwy Bldg 20bStony Brook, NY 11790-2563
Phone(631) 864-6647
Sole ProprietorYes
Enumeration DateFebruary 21, 2022
Last NPPES UpdateFebruary 10, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1104571801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2500 NESCONSET HWY BLDG 20B, Stony Brook, NY 11790
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angie Chan's NPI number?

The NPI number for Angie Chan is 1104571801. It was assigned to this individual provider in the NPPES registry on February 21, 2022.

Where is Angie Chan located?

Angie Chan practices at 2500 Nesconset Hwy Bldg 20B, Stony Brook, NY 11790. The listed phone number is (631) 864-6647.

What is Angie Chan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Angie Chan was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.