=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477597441
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SIEN MEI CHEN CHUO M.D
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/16/2006
-----------------------------------------------------
Last Update Date | 01/13/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19 MEADOWBROOK LANE
-----------------------------------------------------
City | VALLEY STREAM
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11580-4007
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-561-0690
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1300 JERICHO TPKE SUITE 207
-----------------------------------------------------
City | NEW HYDE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11040-4601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-488-3512
-----------------------------------------------------
Fax | 516-488-3763
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 167954
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------