Provider Demographics
NPI:1083824718
Name:CHEN, CONSTANCE MARIAN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:MARIAN
Last Name:CHEN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:5 TUDOR CITY PLACE
Mailing Address - Street 2:APT 1705
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6853
Mailing Address - Country:US
Mailing Address - Phone:212-792-6378
Mailing Address - Fax:212-504-9511
Practice Address - Street 1:166 5TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5909
Practice Address - Country:US
Practice Address - Phone:212-792-6378
Practice Address - Fax:212-504-9511
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2010-03-19
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Provider Licenses
StateLicense IDTaxonomies
NY236558-12086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery