Provider Demographics
NPI:1437558269
Name:CHENG, KAM C (DPT)
Entity Type:Individual
Prefix:
First Name:KAM
Middle Name:C
Last Name:CHENG
Suffix:
Gender:M
Credentials:DPT
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Mailing Address - Street 1:6501 BAY PKWY
Mailing Address - Street 2:LEVEL C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204
Mailing Address - Country:US
Mailing Address - Phone:718-238-9392
Mailing Address - Fax:718-238-9379
Practice Address - Street 1:6501 BAY PKWY
Practice Address - Street 2:LEVEL C
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204
Practice Address - Country:US
Practice Address - Phone:718-238-9392
Practice Address - Fax:718-238-9379
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2017-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY038049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist