Individual
SUSIE CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
139 CENTRE ST. SUITE 320, NEW YORK, NY 10013-3100
(212) 334-1207
Mailing address
PO BOX 1418, NEW YORK, NY 10156-1418
(347) 392-7474
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
211617
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01987842
—
NY
Enumeration date
07/11/2006
Last updated
10/18/2012
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