Doctor Name: | MS. NICOLA SHIAN JIN CHEN |
NPI Number: | 1205128576 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | F340782 |
Business Practice Address: | 1 Main St Roosevelt Island, NY - 100440052 |
Business Phone Number: | 6466860000 |
Business Fax Number: | |
Mailing Address: | 1 Main St, #1f ROOSEVELT ISLAND |
State: | NY |
Postal Code: | 100440052 |
Phone Number: | 6466860000 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2011 |
NPI Last Update Date: | 02/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | F340782 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |