Kenneth Chung

NPI #1760921332 in Maspeth, New York

Provider Information

NPI Number: 1760921332
Entity Type: Individual
Name: Kenneth Chung
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Feb 15, 2017
Last Updated: Feb 15, 2017

Practice Location

Address: 6935 54TH AVE
City: Maspeth
State: New York
ZIP Code: 11378-1723
Phone: (917) 239-6095

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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