Provider Demographics
NPI:1922587336
Name:CHONG, YOONKU (DC)
Entity Type:Individual
Prefix:DR
First Name:YOONKU
Middle Name:
Last Name:CHONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:MATTHEW
Other - Middle Name:YOONKU
Other - Last Name:CHONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3425 150TH PL APT 1E
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3901
Mailing Address - Country:US
Mailing Address - Phone:646-262-7718
Mailing Address - Fax:
Practice Address - Street 1:3409 MURRAY ST FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3948
Practice Address - Country:US
Practice Address - Phone:718-888-1704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013123111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor