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NPI Code Detail

MEDICARE: XUANRONG CHEN

MEDICARE: XUANRONG 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1295468999
Entity Type Code : Individual
Provider Name (Legal Business Name) : XUANRONG CHEN
Provider Business Mailing Address
First Line : 928 BROADWAY STE 803
Second Line :
City : NEW YORK
State : NY
Zip : 10010-8125
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 928 BROADWAY STE 803
Second Line :
City : NEW YORK
State : NY
Zip : 10010-8125
Country : US
Telephone Number : 646-535-1236
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2022
Last Update Date : 07/08/2022

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Directions to “ XUANRONG CHEN ” Practice Location

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