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Individual

MRS. PATTY LAI CHUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
727 N BROADWAY STE B4, MASSAPEQUA, NY 11758-2348
(516) 799-0210
(516) 799-0247
Mailing address
727 N BROADWAY STE B4, MASSAPEQUA, NY 11758-2348
(516) 799-0210
(516) 799-0247

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
008089-1
NY
363A00000X
Physician Assistant
008089
NY

Other

Enumeration date
10/27/2006
Last updated
08/27/2020
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