Chun, Micky

Chun, Micky is an individual health care provider with primary practice located at 242 Merrick Rd Suite 304, Rockville Centre NY 11570-5254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Chun, Micky can be contacted via phone (516) 764-7070.

Contact Information

Primary practice address
242 Merrick Rd Suite 304 Rockville Centre NY 11570-5254
Fax: (516) 764-7073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 227650 New York

Profile Details

NPI number 1306821434
LBN Legal business name Chun, Micky
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Oct 30th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306821434 NPPES
New York MEDICAID 02595802

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