NPI Code Details Logo

NPI 1588467377

NPI 1588467377 : CHUNG NP IN FAMILY HEALTH PC : BROOKLYN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588467377
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CHUNG NP IN FAMILY HEALTH PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/28/2025
-----------------------------------------------------
    Last Update Date     |    07/20/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6516A BAY PKWY 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11204-3931
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    347-783-0078
-----------------------------------------------------
    Fax                  |    347-783-0718
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2147 W 7TH ST 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11223-3735
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     WILLIAM  CHUNG 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    347-783-0078
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.