Healthcare Provider Details

I. General information

NPI: 1255247532
Provider Name (Legal Business Name): JULIE WUN-LI CHEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 FORT WASHINGTON AVE
NEW YORK NY
10033-6741
US

IV. Provider business mailing address

395 FORT WASHINGTON AVE
NEW YORK NY
10033-6741
US

V. Phone/Fax

Practice location:
  • Phone: 212-928-1400
  • Fax:
Mailing address:
  • Phone: 212-928-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number036359
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: