MEDICARE: MICHAEL XIN CHEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	295048	NY

General Provider Information

NPI Number	:	1013303577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL XIN CHEN M.D.

Provider Business Mailing Address
First Line	:	13620 MAPLE AVE STE 201
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5167
Country	:	US
Telephone Number	:	718-799-0127
Fax Number	:

Provider Business Practice Location Address
First Line	:	13620 MAPLE AVE STE 201
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5167
Country	:	US
Telephone Number	:	718-799-0127
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2015
Last Update Date	:	06/01/2026

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