Provider Demographics
NPI:1194053371
Name:CHEN, SHU-FEN (MA PT)
Entity type:Individual
Prefix:
First Name:SHU-FEN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MA PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8238 212TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1318
Mailing Address - Country:US
Mailing Address - Phone:718-468-2257
Mailing Address - Fax:
Practice Address - Street 1:8238 212TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1318
Practice Address - Country:US
Practice Address - Phone:718-468-2257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-25
Last Update Date:2009-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017182-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist