MEDICARE: MINSHENG PAIN MANAGEMENT & ANESTHESIA, PLLC

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	207LA0401X	Addiction Medicine (Anesthesiology) Physician	223423	NY
2	208VP0014X	Interventional Pain Medicine Physician	223423	NY
3	207L00000X	Anesthesiology Physician	223423	NY
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	223423	NY

General Provider Information

NPI Number	:	1730350547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINSHENG PAIN MANAGEMENT & ANESTHESIA, PLLC

Provider Business Mailing Address
First Line	:	3916 PRINCE ST STE 353
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5367
Country	:	US
Telephone Number	:	718-321-8066
Fax Number	:	718-559-6965

Provider Business Practice Location Address
First Line	:	3916 PRINCE ST STE 353
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5367
Country	:	US
Telephone Number	:	718-321-8066
Fax Number	:	718-559-6965

Authorized Official
Title or Position	:	OWNER
Name	:	CHUN MING CHEN
Credential	:	MD
Telephone Number	:	718-321-8066

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	08/13/2024

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