Chen, Shanwan

Chen, Shanwan is an individual health care provider with primary practice located at 13625 37Th Ave Suite 301, Flushing NY 11354-4169. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Chen, Shanwan can be contacted via phone (718) 886-4977.

Contact Information

Primary practice address
13625 37Th Ave Suite 301 Flushing NY 11354-4169
Phone: (718) 886-4977
Fax: (718) 886-4692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 209772 New York
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 209772 New York

Profile Details

NPI number 1609859198
LBN Legal business name Chen, Shanwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609859198 NPPES
New York MEDICAID 02011094

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