Provider Demographics
NPI:1891456224
Name:HONG, SUNG EUN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:SUNG EUN
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19415C 65TH CRES
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3999
Mailing Address - Country:US
Mailing Address - Phone:646-732-2454
Mailing Address - Fax:
Practice Address - Street 1:4702 5TH ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5411
Practice Address - Country:US
Practice Address - Phone:718-472-3600
Practice Address - Fax:718-361-5893
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068710183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist