Healthcare Provider Details

I. General information

NPI: 1598917643
Provider Name (Legal Business Name): HELEN CHEN RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 11/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 1ST AVE # NBV15S6A
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

15048 9TH AVE
WHITESTONE NY
11357-1215
US

V. Phone/Fax

Practice location:
  • Phone: 212-562-3917
  • Fax:
Mailing address:
  • Phone: 917-257-3593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number23 012787
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: