Individual
DR. MARY CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
109 LAFAYETTE ST, 4TH FLOOR, NEW YORK, NY 10013-4154
(212) 274-1900
Mailing address
109 LAFAYETTE ST, 4TH FLOOR, NEW YORK, NY 10013-4154
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007176
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02912581
—
NY
Enumeration date
07/16/2007
Last updated
05/22/2008
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