Individual
MICHAEL CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8655 RANGE ST, QUEENS VILLAGE, NY 11427-2721
(917) 681-3172
Mailing address
8655 RANGE ST, QUEENS VILLAGE, NY 11427-2721
(917) 681-3172
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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