Individual
JIMMY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1415
(516) 437-4167
Mailing address
PO BOX 27842, NEW YORK, NY 10087-7842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
167371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01839436
—
NY
Enumeration date
09/29/2006
Last updated
07/08/2007
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