Healthcare Provider Details

I. General information

NPI: 1982076931
Provider Name (Legal Business Name): XIAOBIN CHEN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2015
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 LORETTA DR
SYOSSET NY
11791-5817
US

IV. Provider business mailing address

18 LORETTA DR
SYOSSET NY
11791-5817
US

V. Phone/Fax

Practice location:
  • Phone: 917-376-1216
  • Fax:
Mailing address:
  • Phone: 917-376-1216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number341219-01
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number005482-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: