Individual
CONNIE CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(347) 842-1707
Mailing address
405 E PHILLIP AVE, ELMWOOD PARK, NJ 07407-2768
(201) 962-6376
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
027798
NY
Other
Enumeration date
07/13/2020
Last updated
12/27/2021
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