- Practice location
- 4077 West RD, Cortland, NY 13045-1637
- Phone
- 607-753-9977
- Fax
- 607-218-6276
- Last updated
- March 4, 2021
Jacky Chen is a Family Medicine 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. 294629 (NY). The current practice location address for Jacky Chen is 4077 West RD, Cortland, NY 13045-1637 and can be reached out via phone at 607-753-9977 and via fax at 607-218-6276.
Provider Profile Details
- NPI Number
- 1538541305
- Provider Name
- Jacky Chen
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 4077 West RD, Cortland, NY 13045-1637
- Phone Number
- 607-753-9977
- Fax Number
- 607-218-6276
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 29, 2015
- Last Update Date
- March 4, 2021
- Certification Date
- March 4, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4077 West RD
Cortland, NY 13045-1637 - City
- Cortland
- State
- New York
- Zip
- 13045-1637
- Phone Number
- 607-753-9977
- Fax Number
- 607-218-6276
Provider Business Mailing Address Details
- Address
- Po Box 627
Cortland, NY 13045-0627 - City
- Cortland
- State
- NY
- Zip
- 13045-0627
- Phone Number
- 607-758-8019
- Fax Number
- 607-758-8210
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 294629
- License State (2)
- NY
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Cortland, NY
View all Family Medicine providers in Cortland →Frequently Asked Questions
What is the NPI number of Jacky Chen, MD?
The NPI number of Jacky Chen, MD is 1538541305. It was assigned on June 29, 2015 and is currently active in the NPPES registry.
What is the specialty of Jacky Chen, MD?
Jacky Chen, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 294629.
Where does Jacky Chen, MD practice?
The practice location is 4077 West RD, Cortland, NY 13045-1637. The office can be reached at 607-753-9977 (phone) or 607-218-6276 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538541305 directly on the NPPES registry website.