Individual
CHAO CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13454 MAPLE AVE, SUITE 1A, FLUSHING, NY 11355-4537
(718) 886-9616
(718) 886-9617
Mailing address
13454 MAPLE AVE, SUITE 1A, FLUSHING, NY 11355-4537
(718) 886-9616
(718) 886-9617
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02198612
—
NY
01
—
39V681
MEDICARE OF BROOKLYN
NY
Enumeration date
07/24/2006
Last updated
10/21/2008
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