Chung, Serina T
Chung, Serina T is an individual health care provider with primary practice located at 1157 Broadway , Hewlett NY 11557-2321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Chung, Serina T can be contacted via phone (516) 295-4481.Contact Information
Primary practice address
1157 Broadway
Hewlett NY 11557-2321
Phone: (516) 295-4481
Fax: (516) 295-4809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 210666 | New York |
Profile Details
| NPI number | 1104825124 |
|---|---|
| LBN Legal business name | Chung, Serina T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Nov 6th, 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 | 1104825124 | NPPES |
| New York | MEDICAID | 02086666 |
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