Individual
CHUN DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10241 68TH AVE, FOREST HILLS, NY 11375-3142
(718) 683-4806
(718) 268-9377
Mailing address
10241 68TH AVE, FOREST HILLS, NY 11375-3142
(718) 683-4806
(718) 268-9377
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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