Chen, Jacky

Chen, Jacky is an individual health care provider with primary practice located at 4077 West Rd , Cortland NY 13045-1637. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Chen, Jacky can be contacted via phone (607) 753-9977.

Contact Information

Primary practice address
4077 West Rd Cortland NY 13045-1637
Phone: (607) 753-9977
Fax: (607) 218-6276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 294629 New York

Profile Details

NPI number 1538541305
LBN Legal business name Chen, Jacky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2015
Last updated Mar 4th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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