Individual
MISS THERESA S CHEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39-07 PRINCE ST, STE 3H, FLUSHING, NY 11354
(646) 552-8007
Mailing address
3907 PRINCE ST STE 3H, FLUSHING, NY 11354-5321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308667
NY
Other
Enumeration date
07/18/2018
Last updated
07/19/2018
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