Individual
CHUN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
278 E MAIN ST STE A, SMITHTOWN, NY 11787-2915
(631) 366-4550
(631) 366-4556
Mailing address
2500 NESCONSET HWY, BLDG 8D, STONY BROOK, NY 11790-2552
(631) 366-4550
(631) 366-4556
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
244759
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02900847
—
NY
Enumeration date
07/02/2007
Last updated
11/01/2020
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