1376743484 NPI number — MS. JUN MEI CHEN LIC.ACUPUNCTURIST,OM

Table of content: MS. JUN MEI CHEN LIC.ACUPUNCTURIST,OM (NPI 1376743484)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376743484 NPI number — MS. JUN MEI CHEN LIC.ACUPUNCTURIST,OM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHEN
Provider First Name:
JUN
Provider Middle Name:
MEI
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LIC.ACUPUNCTURIST,OM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376743484
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6529 ALDERTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REGO PARK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11374-5013
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-318-7388
Provider Business Mailing Address Fax Number:
212-308-0838

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2915 36TH AVE
Provider Second Line Business Practice Location Address:
SUITE 1AA
Provider Business Practice Location Address City Name:
ASTORIA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11106-3180
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-878-3296
Provider Business Practice Location Address Fax Number:
212-308-0838
Provider Enumeration Date:
07/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  002261 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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