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Individual

DR. ALEX PO MAN HUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
3109 84TH ST, EAST ELMHURST, NY 11370-1924
(646) 577-5922
Mailing address
3109 84TH ST, EAST ELMHURST, NY 11370-1924
(646) 577-5922

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
056920
NY
122300000X
Dentist
11428
CT
1223P0221X
Pediatric Dentistry
Primary
056920
NY
1223P0221X
Pediatric Dentistry
11428
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03997633
NY
Enumeration date
03/28/2012
Last updated
01/11/2024
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