1356479596 NPI number — MS. ELLEN CHEUNG PT

Table of content: MS. ELLEN CHEUNG PT (NPI 1356479596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356479596 NPI number — MS. ELLEN CHEUNG PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHEUNG
Provider First Name:
ELLEN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356479596
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
115 MAIN ST
Provider Second Line Business Mailing Address:
SUITE 202 2ND FLOOR
Provider Business Mailing Address City Name:
TUCKAHOE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10707-2948
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-961-1010
Provider Business Mailing Address Fax Number:
914-961-1011

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 202 2ND FLOOR
Provider Business Practice Location Address City Name:
TUCKAHOE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10707-2948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-961-1010
Provider Business Practice Location Address Fax Number:
914-961-1011
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  0239991 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0401995 . This is a "CIGNA HEALTH PLANS-ORTHONET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: Q622D1 . This is a "EMPIRE BC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401995 . This is a "CIGNA- ORTHONET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 201116700038 . This is a "AFFINITY HEALTH PLAN(S) MEDICARE AND MEDICAID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 272438120 . This is a "HUDSON VALLEY HEALTH PLAN /GRP" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 401995 . This is a "US FAMILY HEALTH-ORTHONET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 7682673 . This is a "AETNA LOCAL 1199" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 841740 . This is a "OPTUM HEALTH-PHYSICAL THERAPY (PLANS)" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 854487P . This is a "EMBLEM HEALTH PLANS AND HIP/GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P4162448 . This is a "OXFORD HEALTH/FREEDOM-OPTUMHEATLH CARE SOLUTIONS, INC." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 272438120 . This is a "VNS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P01164882 . This is a "MVP HEALTH PLAN" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01829332 . This is a "AMERIGROUP PLAN(S) HEALTHY FHP NY MEDICARE BALANCE AND SPECIALTY NETWORKS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: Q097Q1 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0000218517110 . This is a "UNITED HEALTH CARE OPTUMHEALTH CARE SOLUTIONS, INC." identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0401997 . This is a "CIGNA HEALTH PLANS-MCLEAN AVENUE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1251 . This is a "AMIDACARE-GROUP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 272438120 . This is a "MAGNACARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 616130500 . This is a "FECA/OFFICE OF WORKERS COMPENSATION PROGRAM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02397657 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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