Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 236558-1 | NY |
NPI | 1083824718 |
---|---|
Provider Name | Dr. Constance Marian Chen |
First Address | New York, NY 10017-6853 |
Second Address | New York, NY 10010-5909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 19/03/2010 |