Individual
DAVID CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
(718) 932-1000
Mailing address
2510 30TH AVE, LONG ISLAND CITY, NY 11102-2448
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
023982
NY
Other
Enumeration date
09/14/2019
Last updated
11/29/2019
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