Provider Demographics
NPI:1760450233
Name:CHENG, LIEN-LING L (PT)
Entity Type:Individual
Prefix:
First Name:LIEN-LING
Middle Name:L
Last Name:CHENG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LIEN-LING
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:13630 MAPLE AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3865
Mailing Address - Country:US
Mailing Address - Phone:718-359-2540
Mailing Address - Fax:718-423-8729
Practice Address - Street 1:13630 MAPLE AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3865
Practice Address - Country:US
Practice Address - Phone:718-359-2540
Practice Address - Fax:718-423-8729
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008988225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY001612Medicare ID - Type Unspecified