Provider Demographics
NPI:1295099190
Name:CHUNG, HOON (MD)
Entity type:Individual
Prefix:DR
First Name:HOON
Middle Name:
Last Name:CHUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 E 41ST ST
Mailing Address - Street 2:6TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6217
Mailing Address - Country:US
Mailing Address - Phone:646-590-3170
Mailing Address - Fax:646-590-3504
Practice Address - Street 1:16 E 41ST ST
Practice Address - Street 2:6TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6217
Practice Address - Country:US
Practice Address - Phone:646-590-3170
Practice Address - Fax:646-590-3504
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY257079207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology