Timothy Chung, | |
21955 67th Ave, Bayside, NY 11364-2638 | |
(917) 238-8129 | |
Not Available |
Full Name | Timothy Chung |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 21955 67th Ave, Bayside, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881973402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 10303087 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Timothy Chung, 21955 67th Ave, Bayside, NY 11364-2638 Ph: (917) 238-8129 | Timothy Chung, 21955 67th Ave, Bayside, NY 11364-2638 Ph: (917) 238-8129 |
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