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Zachary Chung
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1861133282

Zachary Chung is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Zachary Chung practices in Port Jefferson, NY. The NPI Number for Zachary Chung is 1861133282 and holds a License No. (New York).

The current practice location address for Zachary Chung is 75 N Country Rd, Port Jefferson, NY and can be reached out via phone at 631-473-1320 and via fax at 631-775-2362.

Location: 75 N Country Rd, Port Jefferson, NY, 11777-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861133282
Provider Name
Zachary Chung
Credential
Provider Entity Type
Individual
Gender
Male
Address
75 N Country Rd, Port Jefferson, NY, 11777-2119
Phone Number
631-473-1320
Fax Number
631-775-2362
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-473-1320
Fax Number
631-775-2362
person
Provider Business Mailing Address Details
Address
75 N Country Rd
City
Port Jefferson
State
New York
Zip
11777-2119
Phone Number
631-473-1320
Fax Number
631-775-2362
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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