Provider Demographics
NPI:1821241670
Name:CHENG, TAT YIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:TAT
Middle Name:YIN
Last Name:CHENG
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:998 CROOKED HILL ROAD
Mailing Address - Street 2:BUILDING 82 PHARMACY
Mailing Address - City:W. BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-1043
Mailing Address - Country:US
Mailing Address - Phone:631-761-2468
Mailing Address - Fax:631-761-2298
Practice Address - Street 1:998 CROOKED HILL RD
Practice Address - Street 2:BUILDING 82 PHARMACY
Practice Address - City:W BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1019
Practice Address - Country:US
Practice Address - Phone:631-761-2468
Practice Address - Fax:631-761-2298
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0315481835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric