Individual
MR. LAP PANG BENNY CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
14601 45TH AVE, SUITE 206, FLUSHING, NY 11355-2200
(718) 670-3135
Mailing address
167 SANDS ST APT 509, BROOKLYN, NY 11201-7414
(718) 625-4928
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
006599
NY
363AS0400X
Surgical Physician Assistant
Primary
006599
NY
Other
Enumeration date
04/30/2007
Last updated
08/07/2013
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