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Individual

DR. ANDREW CHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2375 BOYNTON PL, BROOKLYN, NY 11223-4632
(718) 373-2104
Mailing address
2375 BOYNTON PL, BROOKLYN, NY 11223-4632
(718) 373-2104

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061039
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02389128
NY
Enumeration date
08/31/2015
Last updated
08/31/2015
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