Individual
DR. JACLYN L. CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS RD RM 20, STONY BROOK, NY 11794-0001
(631) 632-9510
Mailing address
3340 BAINBRIDGE AVE, BRONX, NY 10467-2802
(718) 696-3018
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
328566
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
04/09/2025
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