Provider Demographics
NPI:1750987897
Name:CHENG, YUKA
Entity type:Individual
Prefix:
First Name:YUKA
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 HIDDEN LAKE DR APT 17F
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1164
Mailing Address - Country:US
Mailing Address - Phone:857-413-1436
Mailing Address - Fax:
Practice Address - Street 1:999 HIDDEN LAKE DR APT 17F
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1164
Practice Address - Country:US
Practice Address - Phone:857-413-1436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH236268183500000X
NJ28RI04008700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist