MIKE CHUNG
NPI 1710747431
Student in an Organized Health Care Education/Training Program in Riverhead, NY

Active since March 20, 2024
1 HEROES WAY, RIVERHEAD, NY 11901(631) 548-6446 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mike Chung NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKE CHUNG (NPI 1710747431) is an individual student in an organized health care education/training program in Riverhead, New York and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1710747431
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMIKE CHUNG
Location Address1 HEROES WAYRiverhead, NY 11901-2054
Mailing Address1 Heroes WayRiverhead, NY 11901-2054
Sole ProprietorYes
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1710747431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

1 HEROES WAY, Riverhead, NY 11901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Student in an Organized Health Care Education/Training Program
1 HEROES WAY
RIVERHEAD, NY 11901
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901
Nurse Practitioner (Acute Care)
1 HEROES WAY
RIVERHEAD, NY 11901
Physician Assistant
1 HEROES WAY
RIVERHEAD, NY 11901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710747431, enumerated as an "individual" on March 20, 2024.

The provider is located at 1 HEROES WAY RIVERHEAD, NY 11901 and the phone number is (631) 548-6446.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.