Healthcare Provider Details

I. General information

NPI: 1528038908
Provider Name (Legal Business Name): HSIANG LIH CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 01/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 PARK AVE
NEW YORK NY
10128-1235
US

IV. Provider business mailing address

1125 PARK AVE
NEW YORK NY
10128-1243
US

V. Phone/Fax

Practice location:
  • Phone: 212-369-8192
  • Fax: 212-369-8356
Mailing address:
  • Phone: 212-369-8192
  • Fax: 212-369-8356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number212677-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: