Individual provider · NPI-1

Connie Chen

Hospitalist · Mineola, NY

NPI number1700408549
StatusActive
Last updated in NPPESSep 19, 2023

Details

NPI
1700408549
Entity type
Individual (NPI-1)
Name
Connie Chen
Sex
Female
Sole proprietor
Yes
Enumeration date
May 14, 2020
Certification date
Sep 19, 2023
Last updated
Sep 19, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist322255NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-8963 · Fax 516-663-8964

Mailing address

259 1st St
Mineola, NY 11501-3957

Phone 516-663-8963 · Fax 516-663-8964

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