Cheng, Charlie Tan

Cheng, Charlie Tan is an individual health care provider with primary practice located at 444 N Sea Rd , Southampton NY 11968-2057. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Cheng, Charlie Tan can be contacted via phone (631) 283-4843.

Contact Information

Primary practice address
444 N Sea Rd Southampton NY 11968-2057
Phone: (631) 283-4843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 320283 New York

Profile Details

NPI number 1457847402
LBN Legal business name Cheng, Charlie Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2018
Last updated Apr 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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