Provider Demographics
NPI:1598093387
Name:CHAUNG, JENNA Y (MD)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:Y
Last Name:CHAUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHO
Other - Middle Name:YIN
Other - Last Name:YIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1579 W 6TH ST APT 2A
Mailing Address - Street 2:BROOKLYN
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4928
Mailing Address - Country:US
Mailing Address - Phone:917-330-9731
Mailing Address - Fax:
Practice Address - Street 1:1579 W 6TH ST APT 2A
Practice Address - Street 2:BROOKLYN
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4928
Practice Address - Country:US
Practice Address - Phone:917-330-9731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program