Provider Demographics
NPI:1144522038
Name:HONG, SUNGIL
Entity type:Individual
Prefix:
First Name:SUNGIL
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9033 SUTPHIN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3631
Mailing Address - Country:US
Mailing Address - Phone:929-343-5412
Mailing Address - Fax:929-295-7032
Practice Address - Street 1:9033 SUTPHIN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3631
Practice Address - Country:US
Practice Address - Phone:929-343-5412
Practice Address - Fax:929-295-7032
Is Sole Proprietor?:No
Enumeration Date:2010-11-27
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005706171100000X
NY032243225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No171100000XOther Service ProvidersAcupuncturist