Provider Demographics
NPI:1750548103
Name:CHEN, HUA (MD)
Entity type:Individual
Prefix:DR
First Name:HUA
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W 110TH ST #3K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-4052
Mailing Address - Country:US
Mailing Address - Phone:646-414-2164
Mailing Address - Fax:646-833-0227
Practice Address - Street 1:3251 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4509
Practice Address - Country:US
Practice Address - Phone:646-338-4803
Practice Address - Fax:646-833-0227
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243695207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400008365Medicare PIN
NYA400007778Medicare PIN
NYA40066202Medicare PIN
A100066194Medicare PIN