Healthcare Provider Details

I. General information

NPI: 1881809952
Provider Name (Legal Business Name): DANNA CHUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2007
Last Update Date: 04/28/2023
Certification Date: 04/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 MAMARONECK AVE STE 202
MAMARONECK NY
10543
US

IV. Provider business mailing address

933 MAMARONECK AVE STE 202
MAMARONECK NY
10543-1661
US

V. Phone/Fax

Practice location:
  • Phone: 929-249-0990
  • Fax: 914-372-9911
Mailing address:
  • Phone: 914-257-3754
  • Fax: 914-372-9911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number240263
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number240263
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: