MEDICARE: ARTHUR JUNG

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	152W00000X	Optometrist	VUT006825	NY
2	152WC0802X	Corneal and Contact Management Optometrist	VUT006825	NY

General Provider Information

NPI Number	:	1730281577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR JUNG

Provider Business Mailing Address
First Line	:	22 W 13TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 W 13TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-7902
Country	:	US
Telephone Number	:	212-807-0019
Fax Number	:	212-727-2395

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	12/13/2007

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Directions to “ ARTHUR JUNG ” Practice Location

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