Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 035093 | NY |
NPI | 1003166968 |
---|---|
Provider Name | Dr. Andrew Y Chen |
First Address | New Paltz, NY 12561-4508 |
Second Address | New Paltz, NY 12561-4508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2012 |
Last Update Date | 01/02/2021 |