Provider Demographics
NPI:1538306717
Name:CHUNG, HAE SOOK (MD)
Entity Type:Individual
Prefix:DR
First Name:HAE
Middle Name:SOOK
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:35 WHISTLER HILL LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-5755
Mailing Address - Country:US
Mailing Address - Phone:631-262-0636
Mailing Address - Fax:631-262-0636
Practice Address - Street 1:180 LIVINGSTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5861
Practice Address - Country:US
Practice Address - Phone:347-643-8293
Practice Address - Fax:347-643-8269
Is Sole Proprietor?:No
Enumeration Date:2009-01-09
Last Update Date:2009-01-13
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Provider Licenses
StateLicense IDTaxonomies
NY171415-1207ZP0102X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice