Individual provider · NPI-1

Christine Chung, M.D.

· Mineola, NY

NPI number1639460660
StatusActive
Last updated in NPPESMar 2, 2021

Details

NPI
1639460660
Entity type
Individual (NPI-1)
Name
Ms. Christine Chung
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2011
Certification date
Mar 2, 2021
Last updated
Mar 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X 268873NYYes

Practice location

200 Old Country Rd
Suite 120
Mineola, NY 11501-4235

Phone 516-663-1220

Mailing address

200 Old Country Rd
Suite 120
Mineola, NY 11501-4235

Phone 516-663-1220

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