Provider Demographics
NPI:1033640347
Name:CHUN, SARA MYUNG-SU (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:MYUNG-SU
Last Name:CHUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:MYUNG-SU
Other - Last Name:CHUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:303 5TH AVE RM 1703
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6641
Mailing Address - Country:US
Mailing Address - Phone:646-470-4351
Mailing Address - Fax:928-268-0062
Practice Address - Street 1:303 5TH AVE RM 1703
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6641
Practice Address - Country:US
Practice Address - Phone:646-470-4351
Practice Address - Fax:928-268-0062
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2989812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry