MEDICARE: JUNYU CHEN PELVIC FLOOR PT P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1255187415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUNYU CHEN PELVIC FLOOR PT P.C.

Provider Business Mailing Address
First Line	:	6434 GRAND CENTRAL PKWY APT 1H
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1585
Country	:	US
Telephone Number	:	917-698-9878
Fax Number	:

Provider Business Practice Location Address
First Line	:	13336 41ST RD STE 2A
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-3666
Country	:	US
Telephone Number	:	646-509-8789
Fax Number	:	516-407-5622

Authorized Official
Title or Position	:	OWNER
Name	:	JUNYU CHEN
Credential	:
Telephone Number	:	646-509-9789

Provider Enumeration Date	:	04/29/2024
Last Update Date	:	02/17/2025

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