Provider Demographics
NPI:1225276587
Name:CHEN, HARRY PIAO (DDS)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:PIAO
Last Name:CHEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 CANAL ST
Mailing Address - Street 2:#304
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4155
Mailing Address - Country:US
Mailing Address - Phone:121-258-7564
Mailing Address - Fax:121-258-7564
Practice Address - Street 1:210 CANAL ST
Practice Address - Street 2:#304
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4155
Practice Address - Country:US
Practice Address - Phone:121-258-7564
Practice Address - Fax:121-258-7564
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-25
Last Update Date:2009-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist