Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 006914 | NY |
NPI | 1326546417 |
---|---|
Provider Name | Dr. Nga Yan Cheng |
First Address | Bayside, NY 11361-1059 |
Second Address | Flushing, NY 11355-3342 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2018 |
Last Update Date | 24/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006914 | (05) | NY |