MEDICARE: DR. WARNER CHEN LIC. ACUPUNCTURIST

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	171100000X	Acupuncturist	00349	NY

General Provider Information

NPI Number	:	1881895795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARNER CHEN LIC. ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	390 5TH AVE
Second Line	:	SUITE.907
City	:	NEW YORK
State	:	NY
Zip	:	10018-8104
Country	:	US
Telephone Number	:	212-293-1722
Fax Number	:	212-293-1725

Provider Business Practice Location Address
First Line	:	390 5TH AVE
Second Line	:	SUITE.907
City	:	NEW YORK
State	:	NY
Zip	:	10018-8104
Country	:	US
Telephone Number	:	212-293-1722
Fax Number	:	212-293-1725

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	07/08/2007

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