Healthcare Provider Details

I. General information

NPI: 1952422396
Provider Name (Legal Business Name): DANIEL YI-CHUAN CHEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 03/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WESTCHESTER AVE SUITE N511
RYE BROOK NY
10573-1354
US

IV. Provider business mailing address

800 WESTCHESTER AVE SUITE N511
RYE BROOK NY
10573-1354
US

V. Phone/Fax

Practice location:
  • Phone: 914-428-5454
  • Fax: 914-253-6900
Mailing address:
  • Phone: 914-428-5454
  • Fax: 914-253-6900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2467951
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: