Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 242474 | NY |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 242474 | NY |
NPI | 1174502504 |
---|---|
Provider Name | Xinyue Liu-Chen |
First Address | Williamsville, NY 14221-5782 |
Second Address | Buffalo, NY 14203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 28/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00027829801 | UNIVERA (01) | NY |
0005289460001 | HEALTH NOW (01) | NY |
0114051 | INDEPENDENT HEALTH (01) | NY |
02845765 | (05) | NY |
161000580 | EMPIRE (01) | NY |
161000580 | MERITAIN (01) | NY |
161000580 | NOVA (01) | NY |