Provider Demographics
NPI:1679338859
Name:CHEN, KEVIN YINING
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:YINING
Last Name:CHEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 TERRICH CT
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3708
Mailing Address - Country:US
Mailing Address - Phone:347-612-5960
Mailing Address - Fax:
Practice Address - Street 1:3 TERRICH CT
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3708
Practice Address - Country:US
Practice Address - Phone:347-612-5960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program