Individual
JASON MINREN CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
R89489
NY
Other
Enumeration date
08/06/2013
Last updated
02/11/2022
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