Healthcare Provider Details

I. General information

NPI: 1013362292
Provider Name (Legal Business Name): KEVIN CHEN OTR/L CHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2016
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 E 38TH ST FL 5
NEW YORK NY
10016-2772
US

IV. Provider business mailing address

333 E 38TH ST FL 5
NEW YORK NY
10016-2772
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-7077
  • Fax:
Mailing address:
  • Phone: 646-501-7077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: