MEDICARE: YANFENG CHEN M.D.

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	207R00000X	Internal Medicine Physician	192848	NY
2	207RH0003X	Hematology & Oncology Physician	192848	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1740280171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANFENG CHEN M.D.

Provider Business Mailing Address
First Line	:	5517 7TH AVE
Second Line	:	1F
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3519
Country	:	US
Telephone Number	:	718-871-8255
Fax Number	:	718-871-8255

Provider Business Practice Location Address
First Line	:	5517 7TH AVE
Second Line	:	1F
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3519
Country	:	US
Telephone Number	:	718-871-8255
Fax Number	:	718-438-2736

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

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/16/2010

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