Provider Demographics
NPI:1033640347
Name:CHUN, SARA MYUNG-SU (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:MYUNG-SU
Last Name:CHUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:MYUNG-SU
Other - Last Name:CHUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3275 36TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11106-1103
Mailing Address - Country:US
Mailing Address - Phone:646-470-4351
Mailing Address - Fax:928-268-0062
Practice Address - Street 1:155 W 72ND ST RM 505
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3250
Practice Address - Country:US
Practice Address - Phone:646-470-4351
Practice Address - Fax:928-268-0062
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2989812084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology