MEDICARE: SHOW-YAO 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	183500000X	Pharmacist	039303	NY

General Provider Information

NPI Number	:	1841421740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOW-YAO CHEN

Provider Business Mailing Address
First Line	:	21717 51ST AVE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-1328
Country	:	US
Telephone Number	:	718-631-0469
Fax Number	:

Provider Business Practice Location Address
First Line	:	3811 DYRE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-6112
Country	:	US
Telephone Number	:	718-325-1355
Fax Number	:	718-325-1356

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

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	07/27/2009

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Directions to “ SHOW-YAO CHEN ” Practice Location

Language	Start Address	Practice Location

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