Patrick Yee-Chan, R PH
Individual provider Active NPI Pharmacist · E Williston, NY
NPI 1174770192 · NPPES record last updated Aug 20, 2008
Key facts
- NPI
- 1174770192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 030039 (NY)
- Practice address
- 127 Ludwig LN
E Williston, NY 11596-1422 - Phone
- (516) 248-3922
- NPI assigned
- Aug 20, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030039 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 030039 | NY | Yes |
Addresses
Primary practice location
127 Ludwig LN
E Williston, NY 11596-1422
Mailing address
127 Ludwig LN
E Williston, NY 11596-1422
Phone (516) 248-3922
Other providers in E Williston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.