Most Relevant Information
Provider Data
NPI Number: | 1003540964 |
Provider Name: | KRISTY YI-TYNG CHENG PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: | 028656 |
Most Important Dates
Enumeration Date: | 07/14/2022 |
Last Updated: | 09/07/2022 |
Provider Practice Location
622 W 168TH ST
NEW YORK
NY
100323720
Practice Location Phone/Fax
Phone: | 2123052500 |
Fax: |
Provider Mailing Location
622 W 168TH ST
NEW YORK
NY
100323720
Provider Mailing Phone/Fax
Phone: | 2123052500 |
Fax: |