Organization
IVY CHUNG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY CHUNG MD (PRESIDENT)
(917) 292-6971
Entity
Organization
Contact information
Practice address
25220 NORTHERN BLVD STE 202, LITTLE NECK, NY 11362
(347) 836-8914
(347) 835-4870
Mailing address
25220 NORTHERN BLVD STE 202, LITTLE NECK, NY 11362-1344
(347) 836-8914
(347) 835-4870
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2018
Last updated
09/06/2019
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