Provider Demographics
NPI:1790980738
Name:YUN HEE CHUNG MD PC
Entity Type:Organization
Organization Name:YUN HEE CHUNG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUN HEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:718-461-7700
Mailing Address - Street 1:14218 38TH AVE
Mailing Address - Street 2:SUITE #1B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5550
Mailing Address - Country:US
Mailing Address - Phone:718-461-7700
Mailing Address - Fax:718-539-5175
Practice Address - Street 1:14218 38TH AVE
Practice Address - Street 2:SUITE #1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5550
Practice Address - Country:US
Practice Address - Phone:718-461-7700
Practice Address - Fax:718-539-5175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY152818207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00828771Medicaid
07387Medicare ID - Type Unspecified
NY00828771Medicaid