Provider Demographics
NPI:1114621539
Name:TENG, CHIEH (DPT)
Entity Type:Individual
Prefix:
First Name:CHIEH
Middle Name:
Last Name:TENG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:
Other - Last Name:TENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:8722 51ST AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4184
Mailing Address - Country:US
Mailing Address - Phone:646-577-0616
Mailing Address - Fax:
Practice Address - Street 1:8709 JUSTICE AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4689
Practice Address - Country:US
Practice Address - Phone:718-699-5070
Practice Address - Fax:718-699-5071
Is Sole Proprietor?:No
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049995225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist