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1548723141 NPI number — DAVINA CHEN DO

NPI Number: 1548723141
Health Care Provider/Practitioner: DAVINA CHEN DO

Information about “1548723141” NPI (DAVINA CHEN DO) exists in 1548723141 in HTML format HTML  |  1548723141 in plain Text format TXT  |  1548723141 in PDF (Portable Document Format) PDF  |  1548723141 in an XML format XML  formats.

NPI Number : 1548723141 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548723141",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "DAVINA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "90 S BEDFORD RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOUNT KISCO",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10549-3412",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-242-1370",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "DEPT OF MEDICINE HSC LEVEL 16 SUNY STONY BROOK HOSPITAL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STONY BROOK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11794-0001",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-444-2058",
    "PracticeLocationAddressFaxNumber": "631-444-2493",
    "EnumerationDate": "04/10/2019",
    "LastUpdateDate": "07/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RR0500X",
          "TaxonomyName": "Rheumatology Physician",
          "LicenseNumber": "330948",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "330948",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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