Provider Demographics
NPI:1982076931
Name:CHEN, XIAOBIN (LAC)
Entity Type:Individual
Prefix:MR
First Name:XIAOBIN
Middle Name:
Last Name:CHEN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 FORSYTH ST
Mailing Address - Street 2:APT 15
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-5142
Mailing Address - Country:US
Mailing Address - Phone:917-376-1216
Mailing Address - Fax:
Practice Address - Street 1:68 FORSYTH ST
Practice Address - Street 2:APT 15
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-5142
Practice Address - Country:US
Practice Address - Phone:917-376-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-28
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005482-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist