TIMOTHY CHUNG

BAYSIDE, NY
NPI1881973402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  10303087)
Enumeration Date2011-08-12
Last Update Date2011-08-12
Business Address
-- TIMOTHY CHUNG
21955 67TH AVE
BAYSIDE, NY 11364-2638
Phone number: 917-238-8129
Mailing Address
-- TIMOTHY CHUNG
21955 67TH AVE
BAYSIDE, NY 11364-2638
Phone number: 917-238-8129