Provider Demographics
NPI:1992024509
Name:ELIZABETH S CHEONG MD PC
Entity Type:Organization
Organization Name:ELIZABETH S CHEONG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-217-2896
Mailing Address - Street 1:8067 208TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-1006
Mailing Address - Country:US
Mailing Address - Phone:718-217-2896
Mailing Address - Fax:
Practice Address - Street 1:8067 208TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1006
Practice Address - Country:US
Practice Address - Phone:718-217-2896
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193183207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty