IndividualActive
Alex Chen
NPI 1104403831 · Podiatrist · Northport, NY
Provider details
- NPI number
- 1104403831
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Student, Health Care
Practice location
79 Middleville Rd
Northport, NY 11768-2200
Phone: (469) 556-8148
Approximate (ZIP-level) locationGet directions
Mailing address
79 Middleville Rd
Northport, NY 11768-2200
Registry dates
- Enumerated
- 2021-03-27
- Last updated
- 2024-06-24
- Certified
- 2024-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.