Provider Demographics
NPI:1790026284
Name:CHEUNG, VIOLA (DO)
Entity type:Individual
Prefix:MRS
First Name:VIOLA
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43-59 147TH STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-670-5213
Mailing Address - Fax:718-321-6004
Practice Address - Street 1:4359 147TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1741
Practice Address - Country:US
Practice Address - Phone:718-670-5213
Practice Address - Fax:718-321-6004
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2845352080P0006X
CT390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program