Provider Demographics
NPI:1366504433
Name:CHEN, KATHERINE T (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:T
Last Name:CHEN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1176 5TH AVE
Mailing Address - Street 2:BOX 1170
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6503
Mailing Address - Country:US
Mailing Address - Phone:212-241-8629
Mailing Address - Fax:212-241-3833
Practice Address - Street 1:1176 5TH AVE
Practice Address - Street 2:BOX 1170
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6503
Practice Address - Country:US
Practice Address - Phone:212-241-8629
Practice Address - Fax:212-241-3833
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2011-04-12
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Provider Licenses
StateLicense IDTaxonomies
NY209698-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY209698OtherNEW YORK STATE LICENCE
NYG91837Medicare UPIN