| Dr Ivy D Chung, MD | |
|
45 Mall Dr, Commack, NY 11725-5700 | |
| (631) 326-4563 | |
| (631) 493-1865 |
| Full Name | Dr Ivy D Chung |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 45 Mall Dr, Commack, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477822757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 263721 (New York) | Primary |
| Entity Name | Charles Evans Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
| Entity Name | State Of New York Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ivy D Chung, MD 30 Whitney Cir, Glen Cove, NY 11542-1316 Ph: (917) 292-6971 | Dr Ivy D Chung, MD 45 Mall Dr, Commack, NY 11725-5700 Ph: (631) 326-4563 |
Danielle Amisano, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Commack Rd Unit 150d, Commack, NY 11725 Phone: 318-644-4996 | |
Dr. Jodi Zimbler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Larkfield Rd, Commack, NY 11725 Phone: 631-635-5100 | |
Dr. Michelle Young, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2256 Fax: 631-715-2902 | |
Hazim Moustafa, Family Medicine Medicare: Medicare Enrolled Practice Location: 500 Commack Rd, Commack, NY 11725 Phone: 631-828-7220 Fax: 631-828-7899 | |
James Milano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Jericho Tpke Ste 23a, Commack, NY 11725 Phone: 631-858-2273 Fax: 631-858-2276 |