Organization
NEW YORK ENT PHYSICIAN PC
Active
Other names
Dr. Andrew T Cheng
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW T CHENG M.D. (PRESIDENT)
(212) 925-3569
Entity
Organization
Contact information
Practice address
110 LAFAYETTE ST, SUITE 501, NEW YORK, NY 10013-4116
(212) 925-3569
(212) 966-3465
Mailing address
110 LAFAYETTE ST, SUITE 501, NEW YORK, NY 10013-4116
(212) 925-3569
(212) 966-3465
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
NYS 165672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00945639
—
NY
Enumeration date
06/21/2007
Last updated
08/22/2020
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