Provider Demographics
NPI:1467094441
Name:CHEN, QIAN (NP)
Entity Type:Individual
Prefix:
First Name:QIAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7144 160TH ST UNIT 1A
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3087
Mailing Address - Country:US
Mailing Address - Phone:718-380-7800
Mailing Address - Fax:718-380-7801
Practice Address - Street 1:7144 160TH ST UNIT 1A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-3087
Practice Address - Country:US
Practice Address - Phone:718-380-7800
Practice Address - Fax:718-380-7801
Is Sole Proprietor?:No
Enumeration Date:2019-10-11
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY655812163W00000X
NY309191363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse