Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 210874 | NY |
Y | 208000000X | Pediatrician | 210874 | NY |
NPI | 1144307927 |
---|---|
Provider Name | Dr. Yuqing Chen |
First Address | Flushing, NY 11354-5670 |
Second Address | Flushing, NY 11354-5670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G87275 | (02) | NY |