=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144526732
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN CHEN D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/31/2011
-----------------------------------------------------
Last Update Date | 08/15/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6426 229TH ST
-----------------------------------------------------
City | OAKLAND GARDENS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11364-2712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-751-0841
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6426 229TH ST
-----------------------------------------------------
City | OAKLAND GARDENS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11364-2712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 917-751-0841
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | X012151
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------