Provider Demographics
NPI:1114968120
Name:TING, ERWIN CHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ERWIN
Middle Name:CHAM
Last Name:TING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:630 FIRST AVENUE
Mailing Address - Street 2:APT 9H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-213-4138
Mailing Address - Fax:212-213-4138
Practice Address - Street 1:227 MADISON STREET
Practice Address - Street 2:GOUVERNEUR HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-238-7614
Practice Address - Fax:212-238-7009
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2669362084B0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
001R11Medicare ID - Type Unspecified
H29364Medicare UPIN