Provider Demographics
NPI:1770867491
Name:HUNG, CHUNYIP
Entity Type:Individual
Prefix:
First Name:CHUNYIP
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 82ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2604
Mailing Address - Country:US
Mailing Address - Phone:917-362-0492
Mailing Address - Fax:
Practice Address - Street 1:129 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-4510
Practice Address - Country:US
Practice Address - Phone:845-473-4820
Practice Address - Fax:845-475-5284
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist