Provider Demographics
NPI:1699290965
Name:YUEN KWAN CHAN OB/GYN NP, MIDWIFE P.C.
Entity type:Organization
Organization Name:YUEN KWAN CHAN OB/GYN NP, MIDWIFE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM/ DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YUEN KWAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, OB/GYN NP, DNP
Authorized Official - Phone:347-941-0186
Mailing Address - Street 1:2962 BRIGHTON 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-8514
Mailing Address - Country:US
Mailing Address - Phone:917-915-5055
Mailing Address - Fax:
Practice Address - Street 1:1672 81ST ST FL 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2108
Practice Address - Country:US
Practice Address - Phone:347-941-0186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-08
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
163WH0200X, 163WL0100X, 163WM0102X, 367A00000X
NYF001357367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty
No163WM0102XNursing Service ProvidersRegistered NurseMaternal NewbornGroup - Single Specialty