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
Phone: (718) 461-1515
Fax: (718) 461-9030
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891702718 | NPPES |
New York | MEDICAID | 00775484 |
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