Individual
DR. CHARLOTTE Y CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5381
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
(443) 854-2917
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
310148
NY
2085R0202X
Diagnostic Radiology Physician
009541
GA
2085R0202X
Diagnostic Radiology Physician
310148
NY
208600000X
Surgery Physician
268159
MA
Other
Enumeration date
03/25/2016
Last updated
11/22/2024
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