Individual provider · Type 1 NPI
Laura J. Chan, NP, LCSW-R
Psychiatric/Mental Health Nurse Practitioner · Stony Brook, NY
NPI number
1235288614
Active
Practice location
Stony Brook Psychiatric Associates Ufpc, Hsc Level 10, Room 20
Stony Brook, NY 11794-8101
Fax (631) 444-1560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | R056252-1 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F401211 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235288614
Laura J. Chan, NP, LCSW-R's National Provider Identifier is 1235288614, issued on Jan 9, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stony Brook, NY. The record was last updated on May 23, 2014.