Provider Demographics
NPI:1801118211
Name:CHENG, RICHARD (BS PHARM)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-7505
Mailing Address - Country:US
Mailing Address - Phone:917-497-5633
Mailing Address - Fax:212-227-1942
Practice Address - Street 1:225 MADISON STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002
Practice Address - Country:US
Practice Address - Phone:212-227-5227
Practice Address - Fax:212-227-1942
Is Sole Proprietor?:No
Enumeration Date:2010-02-26
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046269183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist