| Doctor Name: | CHUNGYIKEM CONEY |
| NPI Number: | 1548654601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 5600 Sw 12 St Apt A220 N Lauderdale, FL - 33068 |
| Business Phone Number: | 7542814100 |
| Business Fax Number: | |
| Mailing Address: | 5600 Sw 12th St, Apt A220 N LAUDERDALE |
| State: | FL |
| Postal Code: | 330684092 |
| Phone Number: | 7542814100 |
| Fax Number: | |
| NPI Enumeration Date: | 03/26/2015 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |