Provider Demographics
NPI:1528038908
Name:CHEN, HSIANG LIH (MD)
Entity Type:Individual
Prefix:
First Name:HSIANG
Middle Name:LIH
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1243
Mailing Address - Country:US
Mailing Address - Phone:212-369-8192
Mailing Address - Fax:212-369-8356
Practice Address - Street 1:1112 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1235
Practice Address - Country:US
Practice Address - Phone:212-369-8192
Practice Address - Fax:212-369-8356
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212677-1207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01921686Medicaid
NY60G041Medicare ID - Type Unspecified
NY01921686Medicaid