Provider Demographics
NPI:1376743484
Name:CHEN, JUN MEI (LICACUPUNCTURIST,OM)
Entity Type:Individual
Prefix:MS
First Name:JUN
Middle Name:MEI
Last Name:CHEN
Suffix:
Gender:F
Credentials:LICACUPUNCTURIST,OM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6529 ALDERTON ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5013
Mailing Address - Country:US
Mailing Address - Phone:917-318-7388
Mailing Address - Fax:212-308-0838
Practice Address - Street 1:2915 36TH AVE
Practice Address - Street 2:SUITE 1AA
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3180
Practice Address - Country:US
Practice Address - Phone:718-878-3296
Practice Address - Fax:212-308-0838
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002261171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist