Individual
JENNY CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DAKOTA DR, 202, NEW HYDE PARK, NY 11042-1135
(516) 622-6020
(516) 622-6021
Mailing address
1 DAKOTA DR, NEW HYDE PARK, NY 11042-1135
(516) 622-6020
(516) 622-6021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
322540
NY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
322540
NY
Other
Enumeration date
04/02/2019
Last updated
11/30/2023
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