Individual
SHI SHUM CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7901 BROADWAY # E2-27, ELMHURST, NY 11373-1329
(718) 334-2475
(718) 334-5006
Mailing address
7901 BROADWAY # E2-27, ELMHURST, NY 11373-1329
(718) 334-2475
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
032540
NY
Other
Enumeration date
08/07/2024
Last updated
10/17/2024
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