Individual
VICTOR CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3345 94TH ST STE 1J, JACKSON HEIGHTS, NY 11372-1931
(718) 335-3495
(718) 429-3225
Mailing address
3345 94TH ST STE 1J, JACKSON HEIGHTS, NY 11372-1931
(718) 335-3495
(718) 429-2186
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004215-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01054897
—
NY
01
—
34198
GHI
NY
01
—
4502
BC/BS
NY
01
—
6411330001
DME
NY
01
—
NYBQ11986
NGS MEDICARE
NY
01
—
P00043069
RAILROAD MEDICARE
GA
01
—
P45021
MEDIARE BC/BS
NY
Enumeration date
10/04/2006
Last updated
11/02/2022
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