Individual provider · NPI-1

Dabin Chung

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number1548964612

StatusActive

Last updated in NPPESMar 30, 2023

Details

NPI: 1548964612
Entity type: Individual (NPI-1)
Name: Dabin Chung
Sex: Female
Sole proprietor: Yes
Enumeration date: Mar 30, 2023
Certification date: Mar 30, 2023
Last updated: Mar 30, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes
2255A2300X	Specialist/Technologist, Athletic Trainer	–	–

Practice location

234 E 149th St
Bronx, NY 10451-5504

Phone 718-579-0123

Mailing address

Shamali Student Housing, Education City
Doha, QATAR PO box 5285
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