Organization
S CHUNGFAT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHOCKPIN C CHUNGFAT MD (PRESIDENT)
(315) 265-3108
Entity
Organization
Contact information
Practice address
74 MARKET STREET, POTSDAM, NY 13676-1748
(315) 265-3108
(315) 265-8290
Mailing address
74 MARKET STREET, POTSDAM, NY 13676-1748
(315) 265-3108
(315) 265-8290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
123508
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00333082
—
NY
Enumeration date
12/13/2006
Last updated
08/22/2020
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