Healthcare Provider Details

I. General information

NPI: 1881962025
Provider Name (Legal Business Name): QIAN CHEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2011
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E 38TH ST FL 14
NEW YORK NY
10016-2708
US

IV. Provider business mailing address

240 E 38TH ST FL 14
NEW YORK NY
10016-2708
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-7000
  • Fax:
Mailing address:
  • Phone: 212-263-7000
  • Fax: 212-263-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number279965
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: