Provider Demographics
NPI:1548453426
Name:CHEN-STIEBEL, AGNES SHUH-MING (MD)
Entity type:Individual
Prefix:
First Name:AGNES
Middle Name:SHUH-MING
Last Name:CHEN-STIEBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PRO HEALTH PLZ
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1111
Mailing Address - Country:US
Mailing Address - Phone:516-608-6800
Mailing Address - Fax:516-608-6801
Practice Address - Street 1:2 PRO HEALTH PLZ
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1111
Practice Address - Country:US
Practice Address - Phone:516-608-6800
Practice Address - Fax:516-608-6801
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245684207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY245684OtherLICENSE NUMBER