Individual
JOHN C CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
90 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-1516
Mailing address
110 S BEDFORD RD, CARE MOUNT MEDICAL PC, MOUNT KISCO, NY 10549-3446
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
223534
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547351
—
NY
05
—
02600291
—
NY
01
—
0667910001
DME
NY
01
—
P00370680
MEDICARE RAILROAD
NY
Enumeration date
07/15/2006
Last updated
11/11/2016
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