Provider Demographics
NPI:1699090977
Name:CHEUNG, MARIE C (RPH)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:C
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5905 8TH AVENE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-3910
Mailing Address - Country:US
Mailing Address - Phone:718-851-8998
Mailing Address - Fax:
Practice Address - Street 1:59-05 8TH AVENE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3910
Practice Address - Country:US
Practice Address - Phone:718-851-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0515861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist