Chung, Chin W

Chung, Chin W is an individual health care provider with primary practice located at 147-01 41St Ave , Flushing NY 11355-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chung, Chin W can be contacted via phone (718) 461-1515.

Contact Information

Primary practice address
147-01 41St Ave Flushing NY 11355-1248
Fax: (718) 461-9030
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 153087 New York

Profile Details

NPI number 1891702718
LBN Legal business name Chung, Chin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1891702718 NPPES
New York MEDICAID 00775484

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