Provider Demographics
NPI:1962936492
Name:CHENG, ALBERT CHE HANG (DDS)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:CHE HANG
Last Name:CHENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 LEXINGTON AVE
Mailing Address - Street 2:APT #9E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6724
Mailing Address - Country:US
Mailing Address - Phone:646-384-9213
Mailing Address - Fax:
Practice Address - Street 1:1536 LEXINGTON AVE
Practice Address - Street 2:APT #9E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6724
Practice Address - Country:US
Practice Address - Phone:646-384-9213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060083122300000X
CT12904122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist