Healthcare Provider Details

I. General information

NPI: 1518374057
Provider Name (Legal Business Name): HANGYI CHEN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2014
Last Update Date: 10/19/2024
Certification Date: 10/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 1ST AVE CD 739
NEW YORK NY
10016-9196
US

IV. Provider business mailing address

2920 BROADWAY FL 8
NEW YORK NY
10027-7164
US

V. Phone/Fax

Practice location:
  • Phone: 212-562-8753
  • Fax:
Mailing address:
  • Phone: 212-854-2878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number087035
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number026167
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: