Provider Demographics
NPI:1700216579
Name:CHING, RICHARD (OTR)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:CHING
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10339 WOODHAVEN BLVD
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-3128
Mailing Address - Country:US
Mailing Address - Phone:347-651-5252
Mailing Address - Fax:
Practice Address - Street 1:8675 W ROME BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-1291
Practice Address - Country:US
Practice Address - Phone:725-206-7929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-15
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018496225X00000X
NV017-0882225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist