Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 054523 | NY |
Y | 213EG0000X | General Practice | 054523 | NY |
NPI | 1003140161 |
---|---|
Provider Name | Hsiao Chen Chen |
First Address | New York, NY 10038-1013 |
Second Address | New York, NY 10038-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 27/10/2015 |