Doctor Name: | WILLIAM CHUNG |
NPI Number: | 1184032344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 023812 |
Business Practice Address: | 3349 190th St Flushing, NY - 113581937 |
Business Phone Number: | 9178374281 |
Business Fax Number: | |
Mailing Address: | 3349 190th St, FLUSHING |
State: | NY |
Postal Code: | 113581937 |
Phone Number: | 9178374281 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 07/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 023812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |