| Tina Q Cheng, DO | |
|
7901 Broadway, Suite A1-18, Elmhurst, NY 11373-1329 | |
| (718) 334-1991 | |
| (718) 334-1971 |
| Full Name | Tina Q Cheng |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7901 Broadway, Elmhurst, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013174499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 249865 (New York) | Primary |
| Entity Name | Samaritan Pediatric Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730308925 PECOS PAC ID: 7618151887 Enrollment ID: O20110413000020 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Q Cheng, DO 7901 Broadway, Suite A1-18, Elmhurst, NY 11373-1329 Ph: (718) 334-1991 | Tina Q Cheng, DO 7901 Broadway, Suite A1-18, Elmhurst, NY 11373-1329 Ph: (718) 334-1991 |
Carlos Andres Paredes Ponce, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3050 | |
Oleg Sirkis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Maria Christina Stavroulakis, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-2156 | |
Melvin Gertner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Azfar Shabbir, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Lucy Lim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 |