Provider Demographics
NPI:1245306612
Name:XU Z. CHEN PSYCHIATRIST, LLC
Entity type:Organization
Organization Name:XU Z. CHEN PSYCHIATRIST, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:XU
Authorized Official - Middle Name:ZHANG
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-576-3610
Mailing Address - Street 1:6304 5TH AVENUE, 1FL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4911
Mailing Address - Country:US
Mailing Address - Phone:718-576-3610
Mailing Address - Fax:718-576-3391
Practice Address - Street 1:837 58TH STREET, 3FL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3662
Practice Address - Country:US
Practice Address - Phone:718-686-1533
Practice Address - Fax:718-686-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2199122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02182401Medicaid
NYH47960Medicare UPIN