Individual
SAN CHENG SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13605 SANFORD AVE, 1M, FLUSHING, NY 11355-3136
(718) 321-3996
(718) 321-0071
Mailing address
13605 SANFORD AVE, 1M, FLUSHING, NY 11355-3136
(718) 321-3996
(718) 321-0071
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
195918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01557648
—
NY
Enumeration date
04/18/2007
Last updated
07/19/2013
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