Provider Demographics
NPI:1366013294
Name:CHEN, ZOEY (MS ED)
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6232 60TH RD
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-3526
Mailing Address - Country:US
Mailing Address - Phone:917-251-8996
Mailing Address - Fax:
Practice Address - Street 1:6232 60TH RD
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-3526
Practice Address - Country:US
Practice Address - Phone:917-251-8996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist