Healthcare Provider Details
I. General information
NPI: 1487697884
Provider Name (Legal Business Name): CINDY CHI-LING CHEUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2006
Last Update Date: 07/18/2024
Certification Date: 07/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16303 HORACE HARDING EXPY 5TH FLOOR
FRESH MEADOWS NY
11365-1449
US
IV. Provider business mailing address
13226 AVERY AVE STE 1D
FLUSHING NY
11355-4954
US
V. Phone/Fax
- Phone: 718-670-2371
- Fax: 718-939-3105
- Phone: 718-670-2371
- Fax: 718-939-3105
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 205397 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: