MEDICARE: DR. LEI CHEN MD

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	207Q00000X	Family Medicine Physician	A255414-01	NY

General Provider Information

NPI Number	:	1114108099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEI CHEN MD

Provider Business Mailing Address
First Line	:	20007 46TH RD
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11361-3000
Country	:	US
Telephone Number	:	917-328-7292
Fax Number	:

Provider Business Practice Location Address
First Line	:	533 48TH AVE
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5605
Country	:	US
Telephone Number	:	917-328-7292
Fax Number	:

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

Provider Enumeration Date	:	11/19/2007
Last Update Date	:	09/24/2025

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Directions to “ DR. LEI CHEN MD” Practice Location

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