Provider Demographics
NPI:1225261530
Name:CHEN, LIWU (MD)
Entity Type:Individual
Prefix:DR
First Name:LIWU
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4277 HAMPTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3401
Mailing Address - Country:US
Mailing Address - Phone:718-606-9971
Mailing Address - Fax:718-606-9972
Practice Address - Street 1:4277 HAMPTON ST APT 1
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3401
Practice Address - Country:US
Practice Address - Phone:718-606-9971
Practice Address - Fax:718-606-9972
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY258684207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology