Individual
GRACE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 342-3622
Mailing address
177 FORT WASHINGTON AVE RM 124A, NEW YORK, NY 10032-3733
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
007544
NY
363AM0700X
Medical Physician Assistant
Primary
017202
NY
Other
Enumeration date
02/10/2014
Last updated
07/30/2024
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