Provider Demographics
NPI:1356479596
Name:CHEUNG, ELLEN (PT)
Entity Type:Individual
Prefix:MS
First Name:ELLEN
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 MAIN ST
Mailing Address - Street 2:SUITE 202 2ND FLOOR
Mailing Address - City:TUCKAHOE
Mailing Address - State:NY
Mailing Address - Zip Code:10707-2948
Mailing Address - Country:US
Mailing Address - Phone:914-961-1010
Mailing Address - Fax:914-961-1011
Practice Address - Street 1:115 MAIN ST
Practice Address - Street 2:SUITE 202 2ND FLOOR
Practice Address - City:TUCKAHOE
Practice Address - State:NY
Practice Address - Zip Code:10707-2948
Practice Address - Country:US
Practice Address - Phone:914-961-1010
Practice Address - Fax:914-961-1011
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0239991225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0401995OtherCIGNA HEALTH PLANS-ORTHONET
NYQ622D1OtherEMPIRE BC
NY0401995OtherCIGNA- ORTHONET
NY201116700038OtherAFFINITY HEALTH PLAN(S) MEDICARE AND MEDICAID
NY272438120OtherHUDSON VALLEY HEALTH PLAN /GRP
NY401995OtherUS FAMILY HEALTH-ORTHONET
NY7682673OtherAETNA LOCAL 1199
NY841740OtherOPTUM HEALTH-PHYSICAL THERAPY (PLANS)
NY854487POtherEMBLEM HEALTH PLANS AND HIP/GHI
NYP4162448OtherOXFORD HEALTH/FREEDOM-OPTUMHEATLH CARE SOLUTIONS, INC.
NY272438120OtherVNS
NYP01164882OtherMVP HEALTH PLAN
NY01829332OtherAMERIGROUP PLAN(S) HEALTHY FHP NY MEDICARE BALANCE AND SPECIALTY NETWORKS
Q097Q1OtherBLUE CROSS
NY0000218517110OtherUNITED HEALTH CARE OPTUMHEALTH CARE SOLUTIONS, INC.
NY0401997OtherCIGNA HEALTH PLANS-MCLEAN AVENUE
1251OtherAMIDACARE-GROUP
NY272438120OtherMAGNACARE
616130500OtherFECA/OFFICE OF WORKERS COMPENSATION PROGRAM
NY02397657Medicaid
NY0401995OtherAETNA -ORTHONET
NY0401997OtherAETNA ORTHONET-MCLEAN AVENUE
NY272438120OtherFPN MULTIPLAN/GROUP
NY272438120OtherGEHA
NY272438120OtherPOMCO
NY272438120-001OtherHEALTHFIRST PLAN(S)
NY197266119701OtherHHC CHOICES GOLD HEALTH PLAN
NY2343974OtherHUMANA
NY272438120OtherAGEWELL HEALTH PLAN(S)
NY71103212OtherMBP HEALTH PLAN(S)
NYQ622D1OtherEMPIRE BC