Chen, Jimmy
Chen, Jimmy is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Chen, Jimmy can be contacted via phone (718) 670-1415.Contact Information
Primary practice address
5645 Main St
Flushing NY 11355-5045
Phone: (718) 670-1415
Fax: (516) 437-4167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 167371 | New York |
Profile Details
| NPI number | 1174615843 |
|---|---|
| LBN Legal business name | Chen, Jimmy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174615843 | NPPES |
| New York | MEDICAID | 01839436 |
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