Healthcare Provider Details

I. General information

NPI: 1144491390
Provider Name (Legal Business Name): YU CHEN M.D.,PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 04/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE BOX 20
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

1275 YORK AVE BOX 20
NEW YORK NY
10065-6007
US

V. Phone/Fax

Practice location:
  • Phone: 646-888-2163
  • Fax: 646-227-2416
Mailing address:
  • Phone: 646-888-2163
  • Fax: 646-227-2416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number234561
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: