Healthcare Provider Details

I. General information

NPI: 1548044050
Provider Name (Legal Business Name): BINGJIE CHEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 131ST ST
COLLEGE POINT NY
11356-1920
US

IV. Provider business mailing address

1320 131ST ST
COLLEGE POINT NY
11356-1920
US

V. Phone/Fax

Practice location:
  • Phone: 929-335-7755
  • Fax:
Mailing address:
  • Phone: 929-335-7755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: