Healthcare Provider Details

I. General information

NPI: 1497009252
Provider Name (Legal Business Name): CHEONG TSANG PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2012
Last Update Date: 06/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5535 PORTER RD
NIAGARA FALLS NY
14304-1521
US

IV. Provider business mailing address

15B EMBASSY SQ APT 1
TONAWANDA NY
14150-6937
US

V. Phone/Fax

Practice location:
  • Phone: 716-298-5120
  • Fax:
Mailing address:
  • Phone: 917-727-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number57106
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: