Provider Demographics
NPI:1174329171
Name:CHEN, YING (CPED)
Entity type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:CHEN
Suffix:
Gender:
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14431 41ST AVE STE L6
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1452
Mailing Address - Country:US
Mailing Address - Phone:718-359-3348
Mailing Address - Fax:
Practice Address - Street 1:14431 41ST AVE STE L6
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1452
Practice Address - Country:US
Practice Address - Phone:718-359-3348
Practice Address - Fax:718-359-0388
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCPED4847224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist