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NPI Code Detail

MEDICARE: JANNET UNG, MD, PLLC

MEDICARE: JANNET UNG, MD, PLLC
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
1261QS0132XOphthalmologic Surgery Clinic/Center256771NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2G300023269OTHERNYMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568772374
Entity Type Code : Organization
Provider Name (Legal Business Name) : JANNET UNG, MD, PLLC
Provider Business Mailing Address
First Line : 333 E 34TH ST APT 6E
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5242
Country : US
Telephone Number : 781-244-5191
Fax Number :
Provider Business Practice Location Address
First Line : 333 E 34TH ST APT 6E
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5242
Country : US
Telephone Number : 781-244-5191
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JANNET UNG
Credential : MD
Telephone Number : 781-244-5191
Provider Enumeration Date : 10/14/2010
Last Update Date : 10/14/2010

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