Organization
SUSIE CHUNG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE CHUNG M.D. (PRESIDENT)
(347) 392-7474
Entity
Organization
Contact information
Practice address
139 CENTRE ST. SUITE 320, NEW YORK, NY 10013-3100
(212) 334-1207
Mailing address
PO BOX 1418, NEW YORK, NY 10156-1418
(347) 392-7474
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
211617
NY
Other
Enumeration date
05/24/2007
Last updated
10/19/2012
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