Provider Demographics
NPI:1053454520
Name:SUNG, ESTHER JUNGHAE (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:JUNGHAE
Last Name:SUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6702 230TH ST
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2751
Mailing Address - Country:US
Mailing Address - Phone:201-270-7708
Mailing Address - Fax:
Practice Address - Street 1:4223 212TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2979
Practice Address - Country:US
Practice Address - Phone:718-229-7337
Practice Address - Fax:718-229-7333
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07663400208000000X
MA219571208000000X
NY202465208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics