Provider Demographics
NPI:1871536060
Name:CHEN, HONG JUN (MD)
Entity type:Individual
Prefix:DR
First Name:HONG JUN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JEAN
Other - Middle Name:HONG JUN
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 520569
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11352-0569
Mailing Address - Country:US
Mailing Address - Phone:212-226-6780
Mailing Address - Fax:212-226-6299
Practice Address - Street 1:139 CENTRE ST
Practice Address - Street 2:SUITE LOBBY 102
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4552
Practice Address - Country:US
Practice Address - Phone:212-226-6780
Practice Address - Fax:212-226-6299
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220690174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02230399Medicaid
NY02230399Medicaid
NYH49902Medicare UPIN