Provider Demographics
NPI:1316049844
Name:CHENG, EDWARD HSIN-YI (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HSIN-YI
Last Name:CHENG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:79 MIDDLEVILLE RD
Mailing Address - Street 2:VA MEDICAL CENTER NORTHPORT
Mailing Address - City:NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11768-2200
Mailing Address - Country:US
Mailing Address - Phone:631-261-4400
Mailing Address - Fax:631-486-6113
Practice Address - Street 1:79 MIDDLEVILLE RD
Practice Address - Street 2:VA MEDICAL CENTER (111E)
Practice Address - City:NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11768-2200
Practice Address - Country:US
Practice Address - Phone:631-261-4400
Practice Address - Fax:631-486-6113
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2009-11-04
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Provider Licenses
StateLicense IDTaxonomies
NY155545-1207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology