MEDICARE: CHEUK YING LO

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	225100000X	Physical Therapist	049805	NY

General Provider Information

NPI Number	:	1265140651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEUK YING LO

Provider Business Mailing Address
First Line	:	10221 63RD RD
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-1059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11020 JAMAICA AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11418-2324
Country	:	US
Telephone Number	:	718-850-4644
Fax Number	:

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

Provider Enumeration Date	:	11/14/2022
Last Update Date	:	04/18/2023

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Directions to “ CHEUK YING LO ” Practice Location

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