Provider Demographics
NPI:1508186966
Name:CHENG, RAY (DDS, MD)
Entity Type:Individual
Prefix:DR
First Name:RAY
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:DDS, MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:217 PARK ROW
Mailing Address - Street 2:4B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1101
Mailing Address - Country:US
Mailing Address - Phone:212-233-4934
Mailing Address - Fax:212-233-4986
Practice Address - Street 1:217 PARK ROW
Practice Address - Street 2:4B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1101
Practice Address - Country:US
Practice Address - Phone:212-233-4934
Practice Address - Fax:212-233-4986
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0585251223S0112X
NY285662204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery