Provider Demographics
NPI:1437331568
Name:CHEUNG, JOSEPHINE WANLING
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:WANLING
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BOWERY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-5100
Mailing Address - Country:US
Mailing Address - Phone:212-240-2312
Mailing Address - Fax:212-240-2308
Practice Address - Street 1:28 BOWERY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-5100
Practice Address - Country:US
Practice Address - Phone:212-240-2312
Practice Address - Fax:212-240-2308
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
042970OtherBPARD OF PHARMACY