Healthcare Provider Details

I. General information

NPI: 1760307060
Provider Name (Legal Business Name): MINCI CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 2ND AVE
NEW YORK NY
10003-2704
US

IV. Provider business mailing address

236 2ND AVE
NEW YORK NY
10003-2704
US

V. Phone/Fax

Practice location:
  • Phone: 212-683-8905
  • Fax: 121-683-8906
Mailing address:
  • Phone: 212-683-8905
  • Fax: 212-683-8906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: