Individual
MR. JAY CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
16 ALBERTSON PKWY, ALBERTSON, NY 11507-1202
(516) 578-8335
(516) 626-2093
Mailing address
16 ALBERTSON PKWY, ALBERTSON, NY 11507-1202
(516) 626-2093
(516) 626-2679
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003553
LAC LICENSE NUMBER
NY
Enumeration date
02/21/2008
Last updated
11/18/2019
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