Provider Demographics
NPI:1104947977
Name:CHEONG, CHISANG (ACUPUNCTURIST)
Entity type:Individual
Prefix:MRS
First Name:CHISANG
Middle Name:
Last Name:CHEONG
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6362 SAUNDERS ST # 204
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2042
Mailing Address - Country:US
Mailing Address - Phone:718-896-8829
Mailing Address - Fax:718-896-8829
Practice Address - Street 1:6362 SAUNDERS ST # 204
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2042
Practice Address - Country:US
Practice Address - Phone:718-896-8829
Practice Address - Fax:718-896-8829
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2316171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist