Provider Demographics
NPI:1144431768
Name:CHI, HOWARD CHENG-HAO (DDS)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:CHENG-HAO
Last Name:CHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 GRAND ST STE 801
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4396
Mailing Address - Country:US
Mailing Address - Phone:212-674-8351
Mailing Address - Fax:212-674-8264
Practice Address - Street 1:217 GRAND ST STE 810
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4396
Practice Address - Country:US
Practice Address - Phone:212-674-8351
Practice Address - Fax:212-674-8264
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0542061223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03100887Medicaid