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Individual

JEFFREY G CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACUPUNCTURIST

Contact information

Practice address
81 BAXTER ST, NEW YORK, NY 10013-4461
(212) 925-7105
Mailing address
81 BAXTER ST, NEW YORK, NY 10013-4461
(212) 925-7105

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
001548
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001548
NYS LICENSED NUMBER
NY
01
2G5631
EMPIRE
NY
Enumeration date
04/03/2007
Last updated
07/08/2007
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