Ivy D Chung (NPI# 1477822757, PAC ID# 9032354428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1477822757 |
| PAC ID by PECOS | 9032354428 |
| Professional Enrollment ID | I20130408000445 |
| Full Name | Ivy D Chung |
| Organization Legal Name | CHARLES EVANS CENTER, INC |
| Address |
857 S Oyster Bay Rd Bethpage NY 11714-1030 |
| Phone Number | 5166228888 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1759695992 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330198 | SOUTH NASSAU COMMUNITIES HOSPITAL |
| 330027 | NASSAU UNIVERSITY MEDICAL CENTER |
| 330246 | ST CHARLES HOSPITAL |
| 330393 | UNIVERSITY HOSPITAL ( STONY BROOK ) |
| 330106 | NORTH SHORE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 | 5166228888 | CHARLES EVANS CENTER, INC |
| Organization Legal Name | CHARLES EVANS CENTER, INC |
| Physicians | 1 |
| Street Address |
857 S OYSTER BAY RD |
| City | BETHPAGE |
| State | NY |
| Zip | 11714-1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abra J Walter | Psychologist, Clinical | 857 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valerie Miele | Occupational Therapy | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Andrea D Gray Pincus | Clinical Social Worker | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Timothy Flynn Glover Sr. | Physical Therapy | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Kathleen P Orourke | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Rose M Scammell | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Randi H Schleifer | Speech Language Pathologist | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Nanette Nicotra Gingo | Clinical Social Worker | Adults and Children With Learning and Developmental Disabilities, Inc. | 807 S Oyster Bay Rd, Bethpage, NY 11714-1030 |
| Nancy Marsh | Clinical Social Worker | 32 Sherman Ave, Bethpage, NY 11714-2422 | |
| Mikhael D Rosenberg | Physical Therapy | 104 Benkert St, Bethpage, NY 11714-3002 | |
| Philip J Bruno | Physical Therapy | Pkl Physical Therapy and Wellness, PC | 343 Broadway, Bethpage, NY 11714-3004 |
| Find all physicians in zip 11714 | |||
| City | BETHPAGE |
| Zip Code | 11714 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | BETHPAGE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Ivy D Chung.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.