MEDICARE: DR. YUNG Y CHEN PHD

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	103T00000X	Psychologist	018407	NY

General Provider Information

NPI Number	:	1437475969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUNG Y CHEN PHD

Provider Business Mailing Address
First Line	:	141 E 55TH ST APT 3A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4050
Country	:	US
Telephone Number	:	917-882-9622
Fax Number	:

Provider Business Practice Location Address
First Line	:	141 E 55TH ST APT 3A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-4050
Country	:	US
Telephone Number	:	917-882-9622
Fax Number	:

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

Provider Enumeration Date	:	04/08/2010
Last Update Date	:	08/24/2010

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