Healthcare Provider Details

I. General information

NPI: 1083928428
Provider Name (Legal Business Name): XING LIAN CHEN DNP, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 MOTT ST STE 206
NEW YORK NY
10013-5575
US

IV. Provider business mailing address

366 5TH AVE FL 4
NEW YORK NY
10001-2241
US

V. Phone/Fax

Practice location:
  • Phone: 212-680-0528
  • Fax:
Mailing address:
  • Phone: 212-680-0528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF336275-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: