Individual
DR. CHENG A GONJON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 SICKLES ST, SUITE 1A, NEW YORK, NY 10040-1642
(212) 304-0096
(212) 304-0037
Mailing address
9 SICKLES ST, SUITE 1A, NEW YORK, NY 10040-1642
(212) 304-0096
(212) 304-0037
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
201244
NY
207R00000X
Internal Medicine Physician
Primary
201244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1663872
—
NY
Enumeration date
02/09/2006
Last updated
02/28/2011
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