Provider Demographics
NPI:1982499083
Name:WU, CHEN
Entity type:Individual
Prefix:
First Name:CHEN
Middle Name:
Last Name:WU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21019 26TH AVE APT 1J
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2474
Mailing Address - Country:US
Mailing Address - Phone:347-200-7055
Mailing Address - Fax:
Practice Address - Street 1:21019 26TH AVE APT 1J
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2474
Practice Address - Country:US
Practice Address - Phone:347-200-7055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program