Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacky Chen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1538541305

Jacky Chen, MD is a Student in an Organized Health Care Education/Training Program in Cortland, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4077 W Rd
Cortland, NY 13045-1637
Phone: (607) 753-9977
Fax: (607) 218-6276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1351 Washington Blvd, Stamford, CT 06902-2419 — (203) 276-1000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 294629 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1538541305
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing addressPo Box 627, Cortland, NY 13045-0627

Other providers in Cortland