MEDICARE: MAN SING CHEUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS042998	PA
2	1223G0001X	General Practice Dentistry	041879-1	NY

General Provider Information

NPI Number	:	1245380112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAN SING CHEUNG

Provider Business Mailing Address
First Line	:	819 54TH ST
Second Line	:	GROUND FL.
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3208
Country	:	US
Telephone Number	:	718-435-4647
Fax Number	:

Provider Business Practice Location Address
First Line	:	819 54TH ST
Second Line	:	GROUND FL.
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3208
Country	:	US
Telephone Number	:	718-435-4647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	05/11/2021

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Directions to “ MAN SING CHEUNG ” Practice Location

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