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General NPI Number Information
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NPI Number | 1861992513
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Entity Type | Individual
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Provider Name | MATTHEW JUNG DO
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Gender | Male
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1060 5TH AVE # 1B
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City | NEW YORK
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State | NY
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Zip | 10128-0104
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Country | US
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Telephone | 212-988-8269
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Fax |
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Provider Business Mailing Address
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Address Line | 3016 30TH DR # 3F
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City | ASTORIA
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State | NY
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Zip | 11102-1874
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Country | US
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Telephone | 718-626-0707
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 318368
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License Number State | NY
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