Provider Demographics
NPI:1184853772
Name:CHUNG, GLORIA HYEMIN (OD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:HYEMIN
Last Name:CHUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:2003 UTOPIA PKWY
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-4133
Mailing Address - Country:US
Mailing Address - Phone:718-353-7352
Mailing Address - Fax:718-423-0930
Practice Address - Street 1:2003 UTOPIA PKWY
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-4133
Practice Address - Country:US
Practice Address - Phone:718-353-7352
Practice Address - Fax:718-423-0930
Is Sole Proprietor?:No
Enumeration Date:2009-07-05
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTRO007449152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist