Doctor Name: | DR. YUANYUAN CHEN |
NPI Number: | 1811312291 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. MSC |
License Number: | |
Business Practice Address: | 202-1333 West 11th Ave Vancouver, BC - VGH 0H4 |
Business Phone Number: | 7789907820 |
Business Fax Number: | |
Mailing Address: | 215 E 95th Street, 23b NEW YORK |
State: | NY |
Postal Code: | 10128 |
Phone Number: | 7189746418 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2014 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 09/25/2014 |
NPI Reactivation Date: | 03/04/2015 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |