Individual
CHING WEI RUSSELL CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
307982
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
03/12/2021
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