Provider Demographics
NPI:1477824506
Name:FNA MEDICAL DIAGNOSTICS PLLC
Entity Type:Organization
Organization Name:FNA MEDICAL DIAGNOSTICS PLLC
Other - Org Name:DR. CHEN'S OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BINGMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-338-4803
Mailing Address - Street 1:301 W 110TH ST APT 17H
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-4065
Mailing Address - Country:US
Mailing Address - Phone:646-338-4803
Mailing Address - Fax:646-833-0227
Practice Address - Street 1:65 E 96TH ST APT 1B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0776
Practice Address - Country:US
Practice Address - Phone:646-338-4803
Practice Address - Fax:646-833-0227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33D2034461207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A40066202Medicare PIN
A100066194Medicare PIN