Provider Demographics
NPI:1871787788
Name:C S LEUNG REHABILITATION MEDICINE PLLC
Entity type:Organization
Organization Name:C S LEUNG REHABILITATION MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHING
Authorized Official - Middle Name:SUM
Authorized Official - Last Name:LEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-431-4307
Mailing Address - Street 1:19 BOWERY
Mailing Address - Street 2:2ND FLOOR,
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6702
Mailing Address - Country:US
Mailing Address - Phone:212-431-4307
Mailing Address - Fax:212-431-4031
Practice Address - Street 1:19 BOWERY
Practice Address - Street 2:2ND FLOOR,
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6702
Practice Address - Country:US
Practice Address - Phone:212-431-4307
Practice Address - Fax:212-431-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2014-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WZTVP1Medicare PIN