Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 306373 | NY |
NPI | 1063439941 |
---|---|
Provider Name | Dr. Marcus Chenchi Lien |
First Address | Yorktown Heights, NY 10598-2938 |
Second Address | Yorktown Heights, NY 10598-2938 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 16/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0220888 | LABOR & INDUSTRY (01) | WA |
8483844 | (05) | WA |
MD00047409 | WA STATE LICENSE (01) | WA |
P00466599 | RAILROAD MEDICARE (01) | WA |