Individual
CHARLIE TAN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 N SEA RD, SOUTHAMPTON, NY 11968-2057
(631) 283-4843
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
320283
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2018
Last updated
04/26/2023
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