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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Angie Chan

Physician Assistant in Stony Brook, NY · enumerated 2022.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104571801

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Registry record

Entity type Individual (Type 1)
Name Angie Chan
Sex Female
Practice address Stony Brook, NY, 11790
Phone (631) 864-6647
Enumeration date Feb 21, 2022
Last updated in NPPES Feb 10, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Angie Chan practice?
The practice location on file with NPPES is in Stony Brook, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Angie Chan?
The National Provider Identifier (NPI) for Angie Chan is 1104571801, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-10.