Individual
DR. KAP-JAE SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6683 70TH ST, MIDDLE VILLAGE, NY 11379-1739
(718) 651-2929
(718) 651-3521
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 670-2127
(347) 328-9362
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
161256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00956318
—
NY
05
—
03487616
—
NY
Enumeration date
01/24/2006
Last updated
07/28/2014
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