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Jacky Chen, MD
Family Medicine Physician in Cortland, New York
NPI 1538541305

Jacky Chen is a Family Medicine Physician based in Cortland, NY. Jacky Chen practices in Cortland, NY and has the professional credentials of MD. The NPI Number for Jacky Chen is 1538541305 and holds a License No. (New York).

The current practice location address for Jacky Chen is 4077 West Rd, Cortland, NY and can be reached out via phone at 607-753-9977 and via fax at 607-218-6276.

Location: 4077 West Rd, Cortland, NY, 13045-0627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538541305
Provider Name
Jacky Chen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4077 West Rd, Cortland, NY, 13045-0627
Phone Number
607-753-9977
Fax Number
607-218-6276
Provider Enumeration Date
06/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4077 West Rd
City
Cortland
State
New York
Zip
13045-1637
Phone Number
607-753-9977
Fax Number
607-218-6276
person
Provider Business Mailing Address Details
Address
4077 West Rd
City
Cortland
State
New York
Zip
13045-1637
Phone Number
607-753-9977
Fax Number
607-218-6276
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
294629 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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