Provider Demographics
NPI:1982985214
Name:CHEN, SUZANNA MILA (MD)
Entity type:Individual
Prefix:
First Name:SUZANNA
Middle Name:MILA
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUZANNA
Other - Middle Name:
Other - Last Name:HARMOUCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:58-12 QUEENS BLVD #1037
Mailing Address - Street 2:
Mailing Address - City:QUEENS
Mailing Address - State:NY
Mailing Address - Zip Code:11377
Mailing Address - Country:US
Mailing Address - Phone:212-365-8738
Mailing Address - Fax:858-216-1885
Practice Address - Street 1:58-12 QUEENS BLVD #1037
Practice Address - Street 2:
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11377
Practice Address - Country:US
Practice Address - Phone:212-365-8738
Practice Address - Fax:858-216-1885
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-31
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY2896572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program