Evangelina Chan is a Bridgeport, Connecticut based psychiatrist who is specialized in Child & Adolescent. Active license number of Evangelina Chan is 081696-1 for Child & Adolescent in New York. Her current practice location is 46 Albion St, Bridgeport. Patients can reach her at 203-330-6000 or can fax her at 203-330-6008. Evangelina Chan is MSW,LCSW in Child & Adolescent and her NPI number (Unique professional ID assigned by NPPES) is 1245576248. Evangelina Chan has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Evangelina Chan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Evangelina Chan
Specialization:
Child & Adolescent
Gender:
Female
Credentials:
MSW,LCSW
Practice Address:
46 Albion St, Bridgeport, Connecticut, 06605-2602
Phone:
203-330-6000
Fax:
203-330-6008
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1245576248
NPI Enumeration Date:
19 Dec, 2012
NPI Last Update On:
15 Mar, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evangelina Chan are as mentioned below.
License Number
Specialization
State
Status
081696-1
Child & Adolescent
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Evangelina Chan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008301
Other
Connecticut
LICENSE
004236148
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Evangelina Chan 4 W 125th St, Fl 2 New York, New York
Zip:
10027-4575
Phone Number:
212-942-5615
Fax Number:
212-682-2613
Patients can reach Evangelina Chan at 46 Albion St, Bridgeport, Connecticut or can call to book an appointment on 203-330-6000.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.