Provider Demographics
NPI:1811312291
Name:CHEN, YUANYUAN (MD MSC)
Entity type:Individual
Prefix:DR
First Name:YUANYUAN
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E 95TH STREET
Mailing Address - Street 2:23B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:718-974-6418
Mailing Address - Fax:
Practice Address - Street 1:202-1333 WEST 11TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:BC
Practice Address - Zip Code:VGH 0H4
Practice Address - Country:CA
Practice Address - Phone:778-990-7820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2015-03-04
Deactivation Date:2014-09-25
Deactivation Code:
Reactivation Date:2015-03-04
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program