SearchNew York183500000X

Jin Chung

NPI 1922320605 · on the registry since 2010

Practice

Address
210 S Broadway
Hicksville, NY 11801
Phone
(516) 433-2711
Fax
(512) 681-6422
Organisation at this address
Walgreen Eastern Co Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York