Provider Demographics
NPI:1790133759
Name:CHEN, YING-CHEN (PT)
Entity Type:Individual
Prefix:
First Name:YING-CHEN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:YINGCHEN
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1650 LYNDON FARM CT STE 300
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40223-5005
Mailing Address - Country:US
Mailing Address - Phone:951-374-7288
Mailing Address - Fax:
Practice Address - Street 1:2322 30TH AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-3255
Practice Address - Country:US
Practice Address - Phone:718-545-0700
Practice Address - Fax:718-545-3282
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist