Provider Demographics
NPI:1609010693
Name:HSIN CHENG CHAO, MDPC
Entity Type:Organization
Organization Name:HSIN CHENG CHAO, MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HSIN
Authorized Official - Middle Name:CHENG
Authorized Official - Last Name:CHAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-302-2840
Mailing Address - Street 1:17 COUNTRY CLUB LN
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2433
Mailing Address - Country:US
Mailing Address - Phone:914-302-2840
Mailing Address - Fax:914-302-2838
Practice Address - Street 1:17 COUNTRY CLUB LN
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:NY
Practice Address - Zip Code:10510-2433
Practice Address - Country:US
Practice Address - Phone:914-302-2840
Practice Address - Fax:914-302-2838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY108583-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC12212Medicare UPIN
NY844632Medicare PIN