Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 233542 | NY |
NPI | 1013058213 |
---|---|
Provider Name | Yijun Cheng |
First Address | Williamsville, NY 14221-5782 |
Second Address | Williamsville, NY 14221-8216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 11/12/2019 |