Yin-Wah Wendy Chan, L. AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004519 Issued in NY

Practice address

757 N Main St
Spring Valley, NY 10977-1904

Phone

(845) 821-1721

NPI assigned

Oct 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Yin Wah Chan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319328000000",
    "number": "1437435435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OVERLOOK TER APT 424",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403860",
            "telephone_number": "646-709-1657",
            "fax_number": "917-521-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771904",
            "telephone_number": "845-821-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YIN-WAH",
        "middle_name": "WENDY",
        "name_prefix": "Ms.",
        "credential": "L. AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-23",
        "last_updated": "2011-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YIN WAH",
            "last_name": "CHAN",
            "prefix": "MS.",
            "credential": "L. AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lidia Cerdas, RN
• Amanda Ceus
• Abraham Chacko Jr., M.D.
• Preya Suzanne Chacko, DPT
• Shanee Chambers
• Chana Miriam Simon LLC
• Edward H Chang, RPH
• Beverlyn Loretta Chapple, N.P.
• Syndie N Charlemagne, LPN
• Pascale Charles

• Acupuncturist in Spring Valley, NY
• Providers in Spring Valley, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.