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Individual

SHANWAN CHEN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
13625 37TH AVE, SUITE 301, FLUSHING, NY 11354-4169
(718) 886-4977
(718) 886-4692
Mailing address
6962 230TH ST, OAKLAND GARDENS, NY 11364-3120
(718) 886-4977
(718) 886-4692

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
209772
NY
2084P0805X
Geriatric Psychiatry Physician
Primary
209772
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02011094
NY
Enumeration date
11/29/2005
Last updated
09/11/2025
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