| Jin Kong Chen, DC | |
|
80 Bowery, Rm 403, New York, NY 10013-4614 | |
| (212) 966-9899 | |
| (212) 966-9797 |
| Full Name | Jin Kong Chen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 80 Bowery, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457616476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038012209 (Illinois) | Secondary |
| 111N00000X | Chiropractor | 0122111 (New York) | Primary |
| Provider Name | Pain Care Chiropractic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841538774 PECOS PAC ID: 9133364839 Enrollment ID: O20130401000024 |
| Mailing Address | Practice Location Address |
|---|---|
| Jin Kong Chen, DC 80 Bowery, Rm 403, New York, NY 10013-4614 Ph: (917) 353-9973 | Jin Kong Chen, DC 80 Bowery, Rm 403, New York, NY 10013-4614 Ph: (212) 966-9899 |
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