MEDICARE: JIAYUN CHEN

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	171100000X	Acupuncturist	007775	NY

General Provider Information

NPI Number	:	1548133259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIAYUN CHEN

Provider Business Mailing Address
First Line	:	198C KINGS POINT RD
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11024-1144
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	833 NORTHERN BLVD STE 201
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5315
Country	:	US
Telephone Number	:	516-423-5878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	02/20/2026

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Directions to “ JIAYUN CHEN ” Practice Location

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