Provider Demographics
NPI:1689165821
Name:SUNG, DUK J (DC, LAC)
Entity Type:Individual
Prefix:
First Name:DUK
Middle Name:J
Last Name:SUNG
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6123 231ST ST FL 1
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2426
Mailing Address - Country:US
Mailing Address - Phone:609-402-1495
Mailing Address - Fax:
Practice Address - Street 1:2100 BARTOW AVE RM 227
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4614
Practice Address - Country:US
Practice Address - Phone:718-320-9000
Practice Address - Fax:718-320-9380
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2023-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007383171100000X
NY0130171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist