Healthcare Provider Details

I. General information

NPI: 1396637351
Provider Name (Legal Business Name): YING CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST # 115
BOSTON MA
02111-1552
US

IV. Provider business mailing address

10 HILLSIDE PL
CHAPPAQUA NY
10514-3701
US

V. Phone/Fax

Practice location:
  • Phone: 626-589-1915
  • Fax:
Mailing address:
  • Phone: 626-589-1915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: