Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 129694 | NY |
NPI | 1033165824 |
---|---|
Provider Name | Tony W Cheung |
First Address | New York, NY 10041-0004 |
Second Address | Valley Stream, NY 11581-1011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 10/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01030208 | (05) | NY |
5Z9791 | MEDICARE ID (01) | NY |
E12819 | (02) | NY |