Healthcare Provider Details

I. General information

NPI: 1528979754
Provider Name (Legal Business Name): JIAYUN CHEN ACUPUNCTURE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 NORTHERN BLVD STE 201
GREAT NECK NY
11021-5315
US

IV. Provider business mailing address

198C KINGS POINT RD
GREAT NECK NY
11024-1144
US

V. Phone/Fax

Practice location:
  • Phone: 516-423-5878
  • Fax:
Mailing address:
  • Phone: 516-423-5878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JIAYUN CHEN
Title or Position: OWNER
Credential: L.AC.
Phone: 516-423-5878