Individual
EDMUND CHEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
139 CENTRE ST STE 322, NEW YORK, NY 10013-4554
(212) 240-0028
Mailing address
400 COMMUNITY DR, MANHASSET, NY 11030-3815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0600401
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/16/2017
Last updated
06/13/2019
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