Basic Information
Provider Information
NPI: 1184913527
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHEUNG
FirstName: FELIX
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1300 FRANKLIN AVE STE ML6
Address2:  
City: GARDEN CITY
State: NY
PostalCode: 115301760
CountryCode: US
TelephoneNumber: 5165351900
FaxNumber: 5165351905
Practice Location
Address1: 353 E 68TH ST
Address2:  
City: NEW YORK
State: NY
PostalCode: 100655606
CountryCode: US
TelephoneNumber: 2126392000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2011
LastUpdateDate: 12/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X286401NYY Allopathic & Osteopathic PhysiciansUrology 

No ID Information.


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