Provider Demographics
NPI:1639319338
Name:LEUNG, CYNTHIA C (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:C
Last Name:LEUNG
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25503 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1461
Mailing Address - Country:US
Mailing Address - Phone:718-225-8828
Mailing Address - Fax:
Practice Address - Street 1:25503 NORTHERN BLVD FL 1
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1461
Practice Address - Country:US
Practice Address - Phone:718-225-8828
Practice Address - Fax:646-770-1999
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054270-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics