Healthcare Provider Details

I. General information

NPI: 1245150812
Provider Name (Legal Business Name): WEANNY CHING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 BROADWAY STE 201
NEW YORK NY
10034-1675
US

IV. Provider business mailing address

34 W 139TH ST
NEW YORK NY
10037-1508
US

V. Phone/Fax

Practice location:
  • Phone: 646-273-9004
  • Fax:
Mailing address:
  • Phone: 212-632-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number408765
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: