Individual
DR. HUNG SUP CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 CARLETON AVE, CENTRAL ISLIP, NY 11722-3619
(631) 234-7807
Mailing address
501 CONCORD ST, DIX HILLS, NY 11746-6831
(631) 242-8073
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125021-1
NY
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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