Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 298981 | NY |
NPI | 1033640347 |
---|---|
Provider Name | Dr. Sara Myung-Su Chun |
First Address | Long Island City, NY 11106-1103 |
Second Address | New York, NY 10023-3250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2017 |
Last Update Date | 02/02/2022 |