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NPI Code Detail

MEDICARE: MRS. XIN CHEN MD

MEDICARE:  MRS. XIN  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
1208000000XPediatrics Physician218658NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134163231
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. XIN CHEN MD
Provider Business Mailing Address
First Line : 80 MARCUS DR
Second Line : PROVIDER ENROLLMENT
City : MELVILLE
State : NY
Zip : 11747-4230
Country : US
Telephone Number : 631-391-7889
Fax Number : 631-454-4161
Provider Business Practice Location Address
First Line : 9229 QUEENS BLVD
Second Line :
City : REGO PARK
State : NY
Zip : 11374-1056
Country : US
Telephone Number : 718-575-1992
Fax Number : 917-832-6697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 01/17/2013

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Directions to “ MRS. XIN CHEN MD” Practice Location

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