Provider Demographics
NPI:1881809952
Name:CHUNG, DANNA (MD)
Entity type:Individual
Prefix:
First Name:DANNA
Middle Name:
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:933 MAMARONECK AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-1661
Mailing Address - Country:US
Mailing Address - Phone:914-257-3754
Mailing Address - Fax:914-372-9911
Practice Address - Street 1:933 MAMARONECK AVE STE 202
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543
Practice Address - Country:US
Practice Address - Phone:929-249-0990
Practice Address - Fax:914-372-9911
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240263207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine