Doctor Name: | DR. SUNG CHUNG |
NPI Number: | 1073890026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 033991-1 |
Business Practice Address: | 4106 Bell Blvd Fl 2 Bayside, NY - 113612857 |
Business Phone Number: | 7182799800 |
Business Fax Number: | 7182799500 |
Mailing Address: | 4106 Bell Blvd Fl 2, BAYSIDE |
State: | NY |
Postal Code: | 113612857 |
Phone Number: | 7182799800 |
Fax Number: | 7182799500 |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 033991-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |