Provider Demographics
NPI:1770592685
Name:CHUN, ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 E 76TH ST
Mailing Address - Street 2:OFC 2G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2850
Mailing Address - Country:US
Mailing Address - Phone:212-988-2900
Mailing Address - Fax:212-879-4912
Practice Address - Street 1:132 E 76TH ST
Practice Address - Street 2:OFC 2G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2850
Practice Address - Country:US
Practice Address - Phone:212-988-2900
Practice Address - Fax:212-879-4912
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193689174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF67940Medicare UPIN
NY3V1161Medicare ID - Type Unspecified