Provider Demographics
NPI:1407880933
Name:CHEN, ANDREW C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:C
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:233 BROADWAY
Mailing Address - Street 2:SUITE 1804
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10279-1806
Mailing Address - Country:US
Mailing Address - Phone:347-838-2818
Mailing Address - Fax:212-574-3368
Practice Address - Street 1:233 BROADWAY
Practice Address - Street 2:SUITE 1804
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10279-1806
Practice Address - Country:US
Practice Address - Phone:347-838-2818
Practice Address - Fax:212-574-3368
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2384682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry