MEDICARE: ELIZABETH S CHEONG MD PC

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	207L00000X	Anesthesiology Physician	193183	NY

General Provider Information

NPI Number	:	1992024509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH S CHEONG MD PC

Provider Business Mailing Address
First Line	:	8067 208TH ST
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11427-1006
Country	:	US
Telephone Number	:	718-217-2896
Fax Number	:

Provider Business Practice Location Address
First Line	:	8067 208TH ST
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11427-1006
Country	:	US
Telephone Number	:	718-217-2896
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ELIZABETH CHEONG
Credential	:	M.D.
Telephone Number	:	718-217-2896

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	05/21/2010

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