Healthcare Provider Details

I. General information

NPI: 1033898606
Provider Name (Legal Business Name): SHILANG CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2248 31ST ST
ASTORIA NY
11105-2714
US

IV. Provider business mailing address

2100 STILLWELL AVE
BROOKLYN NY
11223-3439
US

V. Phone/Fax

Practice location:
  • Phone: 718-267-1333
  • Fax: 718-267-1330
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV009787
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: