Provider Demographics
NPI:1205948668
Name:CHUNG, YUN HEE (MD)
Entity type:Individual
Prefix:DR
First Name:YUN HEE
Middle Name:
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 18 38 AVE
Mailing Address - Street 2:#1B
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5550
Mailing Address - Country:US
Mailing Address - Phone:718-461-7700
Mailing Address - Fax:718-539-5175
Practice Address - Street 1:142 18 38 AVE
Practice Address - Street 2:#1B
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5550
Practice Address - Country:US
Practice Address - Phone:718-461-7700
Practice Address - Fax:718-539-5175
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY152818207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00828771Medicaid
07387GMedicare ID - Type Unspecified
NY00828771Medicaid