MEDICARE: YUQING RAINE CHEN

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	363LA2200X	Adult Health Nurse Practitioner	312282	NY
2	163W00000X	Registered Nurse	730049	NY

General Provider Information

NPI Number	:	1174057087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUQING RAINE CHEN

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	:	04/18/2017
Last Update Date	:	07/18/2025

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Directions to “ YUQING RAINE CHEN ” Practice Location

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