Doctor Name: | ELIZABETH SUNJU CHEONG |
NPI Number: | 1215111794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. P.C. |
License Number: | 193183 |
Business Practice Address: | 55 E. 65th St #2a New York, NY - 100656512 |
Business Phone Number: | 9174034110 |
Business Fax Number: | |
Mailing Address: | 55 E. 65th St, #2a NEW YORK |
State: | NY |
Postal Code: | 100656512 |
Phone Number: | 9174034110 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2007 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 193183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |