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Individual

STEPHANIE CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 PENN PLZ FL 8, OPTUMCARE, NEW YORK, NY 10119-0899
(732) 718-0654
(187) 769-6846
Mailing address
1 PENN PLZ FL 8, OPTUMCARE, NEW YORK, NY 10119-0899
(732) 718-0654
(187) 769-6846

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340423-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020736641
NY
Enumeration date
11/30/2006
Last updated
10/07/2015
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