Individual provider · Type 1 NPI

Stacey Qi Xuan Chung, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1306696372 Active

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Call (718) 226-6993 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1306696372

Stacey Qi Xuan Chung, MD's National Provider Identifier is 1306696372, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 25, 2024.