Provider Demographics
NPI:1386164689
Name:TONGE, CHEON (MSW)
Entity type:Individual
Prefix:
First Name:CHEON
Middle Name:
Last Name:TONGE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 W 38TH ST RM 817
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3541
Mailing Address - Country:US
Mailing Address - Phone:212-695-4564
Mailing Address - Fax:212-695-4561
Practice Address - Street 1:307 W. 38TH STREET
Practice Address - Street 2:SUITE 817
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:212-695-4564
Practice Address - Fax:212-695-4561
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty