Provider Demographics
NPI:1740536580
Name:CHENG, TRICIA (PHARMD)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:
Other - Last Name:MUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5004 192ND ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1214
Mailing Address - Country:US
Mailing Address - Phone:718-840-7073
Mailing Address - Fax:
Practice Address - Street 1:3515 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1955
Practice Address - Country:US
Practice Address - Phone:718-539-7559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056849183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist