Organization
CXC PHYSICIAN, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAOCHANG JOHHNY CHEN M.D. (PRESIDENT)
(516) 474-2038
Entity
Organization
Contact information
Practice address
9 MAC LEAN DR, GLEN HEAD, NY 11545-3137
(516) 474-2038
Mailing address
9 MAC LEAN DR, GLEN HEAD, NY 11545-3137
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02386574
—
NY
Enumeration date
06/03/2006
Last updated
03/07/2015
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