Provider Demographics
NPI:1316182512
Name:CHEUNG, ANGELES MAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANGELES
Middle Name:MAY
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2638 21ST ST APT 9E
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4199
Mailing Address - Country:US
Mailing Address - Phone:646-256-1195
Mailing Address - Fax:833-395-0988
Practice Address - Street 1:REGUS 445 PARK AVENUE
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:646-256-1195
Practice Address - Fax:833-395-0988
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9052103G00000X
NY018003-1103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist