MEDICARE: CHUNG NP IN FAMILY HEALTH PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1588467377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHUNG NP IN FAMILY HEALTH PC

Provider Business Mailing Address
First Line	:	2147 W 7TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6516A BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3931
Country	:	US
Telephone Number	:	347-783-0078
Fax Number	:	347-783-0718

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM CHUNG
Credential	:
Telephone Number	:	347-783-0078

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	07/20/2025

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