Provider Demographics
NPI:1558413484
Name:CHENG, WINSTON TAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:WINSTON
Middle Name:TAN
Last Name:CHENG
Suffix:
Gender:M
Credentials:MS, CCC-SLP
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:415 E 85TH ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6356
Mailing Address - Country:US
Mailing Address - Phone:347-321-7145
Mailing Address - Fax:212-342-2112
Practice Address - Street 1:COLUMBIA UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:622 W. 168TH ST., VANDERBILT CLINIC, 10TH FL, ROOM 1001
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-2531
Practice Address - Fax:212-342-2112
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012509-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist