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1306027966 NPI number — MR. VINCE S CHEUNG

NPI Number: 1306027966
Health Care Provider/Practitioner: MR. VINCE S CHEUNG

Information about “1306027966” NPI (MR. VINCE S CHEUNG) exists in 1306027966 in HTML format HTML  |  1306027966 in plain Text format TXT  |  1306027966 in PDF (Portable Document Format) PDF  |  1306027966 in an XML format XML  formats.

NPI Number : 1306027966 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306027966",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEUNG",
    "FirstName": "VINCE",
    "MiddleName": "S",
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4170 MAIN ST",
    "SecondLineMailingAddress": "SUITE A2",
    "MailingAddressCityName": "FLUSHING",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11355-3820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-321-8830",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4170 MAIN ST",
    "SecondLinePracticeLocationAddress": "SUITE A2",
    "PracticeLocationAddressCityName": "FLUSHING",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11355-3837",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-321-8830",
    "PracticeLocationAddressFaxNumber": "718-321-8815",
    "EnumerationDate": "11/23/2007",
    "LastUpdateDate": "06/27/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "043789",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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