Healthcare Provider Details

I. General information

NPI: 1881190718
Provider Name (Legal Business Name): MEGAN CHENEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2018
Last Update Date: 06/21/2022
Certification Date: 06/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S MANNING BLVD STE 201
ALBANY NY
12208-1743
US

IV. Provider business mailing address

319 S MANNING BLVD STE 201
ALBANY NY
12208-1743
US

V. Phone/Fax

Practice location:
  • Phone: 518-516-6726
  • Fax: 518-708-8773
Mailing address:
  • Phone: 518-516-6726
  • Fax: 518-708-8773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number316091
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: