Provider Demographics
NPI:1902198641
Name:DAVID C. CHENG MEDICAL P. C.
Entity Type:Organization
Organization Name:DAVID C. CHENG MEDICAL P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-461-5900
Mailing Address - Street 1:13235 41ST RD
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-4235
Mailing Address - Country:US
Mailing Address - Phone:718-461-5900
Mailing Address - Fax:718-461-4833
Practice Address - Street 1:13235 41ST RD
Practice Address - Street 2:SUITE 2D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-4235
Practice Address - Country:US
Practice Address - Phone:718-461-5900
Practice Address - Fax:718-461-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty