Healthcare Provider Details

I. General information

NPI: 1447025481
Provider Name (Legal Business Name): SHIRLEY CHEUNG WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 YORK AVENUE 12 FL
NEW YORK NY
10065
US

IV. Provider business mailing address

1283 YORK AVENUE 12 FL
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-3681
  • Fax:
Mailing address:
  • Phone: 917-941-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421675
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: