MEDICARE: CHUN MING CHEN MD

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	223423	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578507745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHUN MING CHEN MD

Provider Business Mailing Address
First Line	:	3916 PRINCE ST STE 353
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5367
Country	:	US
Telephone Number	:	646-912-1823
Fax Number	:	718-559-6965

Provider Business Practice Location Address
First Line	:	3916 PRINCE ST STE 353
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5367
Country	:	US
Telephone Number	:	646-912-1823
Fax Number	:	718-559-6965

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/13/2024

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Directions to “ CHUN MING CHEN MD” Practice Location

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