Healthcare Provider Details

I. General information

NPI: 1770749004
Provider Name (Legal Business Name): JOYCE CHEUNG MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 08/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13620 38TH AVE
FLUSHING NY
11354-4233
US

IV. Provider business mailing address

13620 38TH AVE
FLUSHING NY
11354-4233
US

V. Phone/Fax

Practice location:
  • Phone: 718-353-7701
  • Fax: 718-353-7709
Mailing address:
  • Phone: 718-353-7701
  • Fax: 718-353-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2027091
License Number StateNY

VIII. Authorized Official

Name: DENISE PRISKIE
Title or Position: ACCT MGR
Credential:
Phone: 877-877-6900