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Contact Information

FANG CHEN, MD
496 COUNTY ROAD 111
BUILDING B
MANORVILLE, NY11949-3383
 Phone: 631-405-3200
 Fax: 631-395-6010
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FANG CHEN · (Female)

NPI # 1255455689
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2007
Last updated 01/16/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 239293
  • NY Medicaid 02900750
Hospital affiliation(s)
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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