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NPI Code Detail

MEDICARE: STEPHANIE CHEN

MEDICARE: STEPHANIE CHEN
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
1163W00000XRegistered Nurse975928NY

General Provider Information

NPI Number : 1912856063
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CHEN
Provider Business Mailing Address
First Line : 1963 W 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1963 W 12TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2431
Country : US
Telephone Number : 646-286-8776
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ STEPHANIE CHEN ” Practice Location

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