Provider Demographics
NPI:1407239247
Name:CHEN, AN (MD)
Entity Type:Individual
Prefix:DR
First Name:AN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 CENTRE ST
Mailing Address - Street 2:STE 216
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4553
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:786-513-6480
Practice Address - Street 1:139 CENTRE ST
Practice Address - Street 2:STE 216
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4553
Practice Address - Country:US
Practice Address - Phone:718-683-7685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA277995207Q00000X
CAA158993207Q00000X
FLME137766207Q00000X
PAMD465762207Q00000X
MDD86238207Q00000X
MI4301116434207Q00000X
NY296505207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine