Provider Demographics
NPI:1154763035
Name:HUNG, JOHNNY CHUN WAI
Entity type:Individual
Prefix:DR
First Name:JOHNNY
Middle Name:CHUN WAI
Last Name:HUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4332 KISSENA BLVD
Mailing Address - Street 2:APT. 11J
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2934
Mailing Address - Country:US
Mailing Address - Phone:646-379-8089
Mailing Address - Fax:
Practice Address - Street 1:4332 KISSENA BLVD
Practice Address - Street 2:APT. 11J
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2934
Practice Address - Country:US
Practice Address - Phone:646-379-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program