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Individual

KON D CHUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
333 ROUTE 25A, STE 225, ROCKY POINT, NY 11778-8802
(631) 744-3671
(631) 744-6205
Mailing address
333 ROUTE 25A, STE 225, ROCKY POINT, NY 11778-8802
(631) 744-3671
(631) 744-6205

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
178921-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01544187
NY
Enumeration date
12/29/2005
Last updated
10/20/2011
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