MEDICARE: SHUAI CHEN FNP

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	363LF0000X	Family Nurse Practitioner	344131	NY

General Provider Information

NPI Number	:	1760941744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHUAI CHEN FNP

Provider Business Mailing Address
First Line	:	549 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4605
Country	:	US
Telephone Number	:	473-388-0123
Fax Number	:	878-888-2228

Provider Business Practice Location Address
First Line	:	549 61ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-4605
Country	:	US
Telephone Number	:	212-518-1669
Fax Number	:	917-336-8422

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

Provider Enumeration Date	:	03/18/2019
Last Update Date	:	10/31/2024

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