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General NPI Number Information
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NPI Number | 1295231678
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Entity Type | Individual
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Provider Name | JEFFREY SUNG MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2018
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 13625 37TH AVE
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City | FLUSHING
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State | NY
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Zip | 11354-4110
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Country | US
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Telephone | 718-428-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 6919 166TH ST
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City | FRESH MEADOWS
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State | NY
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Zip | 11365-3225
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Country | US
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Telephone | 718-308-7426
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 301462-01
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License Number State | NY
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