Individual
DR. CLARENCE LEE CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 W 96TH ST, SUITE 1D, NEW YORK, NY 10025-6413
(212) 595-7189
(212) 595-7189
Mailing address
110 W 96TH ST, SUITE 1D, NEW YORK, NY 10025-6413
(212) 595-7189
(212) 595-7189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
138749
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00712029
—
NY
01
—
0097224
GHI PROVIDER ID
NY
01
—
138749
MEDICAL LICENSE
NY
01
—
4289903
AETNA PROVIDER ID
NY
01
—
59005
MEDICAL LICENSE
NJ
01
—
79008946
DEPT OF HEALTH PIN
NY
01
—
P637365
OXFORD PROVIDER ID
NY
Enumeration date
05/15/2006
Last updated
03/07/2023
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