Individual
GINA CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 ALBANY AVE STE 10, AMITYVILLE, NY 11701-1223
(631) 844-5900
Mailing address
85107 CIRCLE DR, CENTRAL ISLIP, NY 11722-5210
(516) 426-2017
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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