Healthcare Provider Details

I. General information

NPI: 1205773611
Provider Name (Legal Business Name): EMILY CHENG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 CRITTENDEN BLVD
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

811 ELMWOOD TER APT C
ROCHESTER NY
14620-3731
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-7755
  • Fax:
Mailing address:
  • Phone: 716-868-9960
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number766742
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: