MEDICARE: JUN KANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	259610	NY

General Provider Information

NPI Number	:	1043469042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUN KANG

Provider Business Mailing Address
First Line	:	818 55TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3213
Country	:	US
Telephone Number	:	718-972-6868
Fax Number	:	718-972-2588

Provider Business Practice Location Address
First Line	:	818 55TH ST FL 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-3213
Country	:	US
Telephone Number	:	718-972-6868
Fax Number	:	718-972-2588

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2008
Last Update Date	:	11/19/2025

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Directions to “ JUN KANG ” Practice Location

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