Healthcare Provider Details

I. General information

NPI: 1568889475
Provider Name (Legal Business Name): CAO & CHEN MEDICAL LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 03/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13621 ROOSEVELT AVE SUITE 205
FLUSHING NY
11354-5655
US

IV. Provider business mailing address

13621 ROOSEVELT AVE SUITE 205
FLUSHING NY
11354-5655
US

V. Phone/Fax

Practice location:
  • Phone: 718-353-2536
  • Fax: 718-359-9247
Mailing address:
  • Phone: 718-353-2536
  • Fax: 718-359-9247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YUPING CHEN
Title or Position: PARTNER
Credential: MD
Phone: 718-353-2536