Provider Demographics
NPI:1588825806
Name:CHEN, SAMANTHA C (MD)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:C
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 N VILLAGE AVE
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-1000
Mailing Address - Country:US
Mailing Address - Phone:516-705-1210
Mailing Address - Fax:
Practice Address - Street 1:154 N 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-2910
Practice Address - Country:US
Practice Address - Phone:718-414-2013
Practice Address - Fax:718-414-2015
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY246931207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine