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NPI Code Detail

MEDICARE: YONG CHEN

MEDICARE: YONG 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
1183500000XPharmacist060683NY

General Provider Information

NPI Number : 1669857256
Entity Type Code : Individual
Provider Name (Legal Business Name) : YONG CHEN
Provider Business Mailing Address
First Line : 249 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3610
Country : US
Telephone Number : 718-768-9567
Fax Number :
Provider Business Practice Location Address
First Line : 249 7TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3610
Country : US
Telephone Number : 718-768-9567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2015
Last Update Date : 07/23/2015

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Directions to “ YONG CHEN ” Practice Location

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