Individual
DR. LYNN S CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2248 31ST ST, ASTORIA, NY 11105-2714
(516) 453-0435
Mailing address
1345 RXR PLZ FL 13, UNIONDALE, NY 11556-1301
(516) 453-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA09890800
NJ
207Q00000X
Family Medicine Physician
Primary
300145
NY
207Q00000X
Family Medicine Physician
DR.0070161
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029438
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/15/2012
Last updated
06/27/2023
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