Provider Demographics
NPI:1194270264
Name:CHIEN MEDICAL PLLC
Entity type:Organization
Organization Name:CHIEN MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REP
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:NIEN-TSUNG
Authorized Official - Last Name:CHIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-226-4890
Mailing Address - Street 1:86 BOWERY
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4615
Mailing Address - Country:US
Mailing Address - Phone:212-226-4890
Mailing Address - Fax:212-226-4891
Practice Address - Street 1:139 CENTRE ST STE 315
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4554
Practice Address - Country:US
Practice Address - Phone:212-226-4890
Practice Address - Fax:212-226-4891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-18
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04649556Medicaid
NYA100158766Medicare PIN