Chen, Jaclyn L.
Chen, Jaclyn L. is an individual health care provider with primary practice located at 101 Nicolls Rd Rm 20 , Stony Brook NY 11794-0001. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Chen, Jaclyn L. can be contacted via phone (631) 632-9510.Contact Information
Primary practice address
101 Nicolls Rd Rm 20
Stony Brook NY 11794-0001
Phone: (631) 632-9510
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 328566 | New York |
Profile Details
| NPI number | 1699303073 |
|---|---|
| LBN Legal business name | Chen, Jaclyn L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2020 |
| Last updated | Apr 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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