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Organization

NYHQ

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YI-WEN CHEN P.A. (PHYSICIAN ASSISTANT)
(718) 670-1507
Entity
Organization

Contact information

Practice address
5645 MAIN ST, OBGYN, FLUSHING, NY 11355-5045
(718) 670-1517
Mailing address
5053 186TH ST, FRESH MEADOWS, NY 11365-1610

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
07611
NY

Other

Enumeration date
04/06/2007
Last updated
02/05/2009
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