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Individual

BRIAN CHUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3014 37TH ST, ASTORIA, NY 11103-3809
(718) 278-9500
Mailing address
3014 37TH ST, ASTORIA, NY 11103-3809
(718) 278-9500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
263322
NY

Other

Enumeration date
08/27/2011
Last updated
08/28/2012
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