Healthcare Provider Details

I. General information

NPI: 1679085484
Provider Name (Legal Business Name): ZHUOWEN CHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2017
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4538 BELL BLVD
BAYSIDE NY
11361-3308
US

IV. Provider business mailing address

4538 BELL BLVD
BAYSIDE NY
11361-3308
US

V. Phone/Fax

Practice location:
  • Phone: 718-766-0582
  • Fax: 718-766-0583
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number063618
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: