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NPI Code Detail

MEDICARE: DR. ANDREW JAGENE CHAUNG DO

MEDICARE: DR. ANDREW JAGENE CHAUNG DO
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
1207L00000XAnesthesiology Physician343595NY

General Provider Information

NPI Number : 1669053559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JAGENE CHAUNG DO
Provider Business Mailing Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Provider Business Practice Location Address
First Line : 301 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8408
Country : US
Telephone Number : 631-968-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 04/27/2026

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