MEDICARE: DR. MICHELLE AHN JEONG

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	183500000X	Pharmacist	058692	NY

General Provider Information

NPI Number	:	1285064675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE AHN JEONG

Provider Business Mailing Address
First Line	:	50 FOREST DR
Second Line	:
City	:	JERICHO
State	:	NY
Zip	:	11753-2308
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 FOREST DR
Second Line	:
City	:	JERICHO
State	:	NY
Zip	:	11753-2308
Country	:	US
Telephone Number	:	516-932-0551
Fax Number	:

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

Provider Enumeration Date	:	11/20/2013
Last Update Date	:	11/20/2013

Similar Medicare Providers

1578419073 — BENITA S PARK
Practice Location Address:

282 BIRCHWOOD PARK DR
JERICHO, NY
11753-2307

Practice Phone: 631-392-8384
Practice Fax:

1447253000 — LOUIS OBERGH II P.T.
Practice Location Address:

400 N BROADWAY , UNIT D
JERICHO, NY
11753-2113

Practice Phone: 516-827-9446
Practice Fax:

1326044926 — MAQSOOD ALAM M.D.
Practice Location Address:

27 MIDDLE LN
JERICHO, NY
11753-2235

Practice Phone: 516-974-5177
Practice Fax: 516-678-2465

1316946239 — DR. CHRISTOPHER WAYRICH DC, OTR/L
Practice Location Address:

7 DEER LN
JERICHO, NY
11753-2608

Practice Phone: 516-314-2891
Practice Fax: 516-342-1066

1508866542 — SUBHASH R VISWANATHAN M.D.
Practice Location Address:

555 N BROADWAY
JERICHO, NY
11753-2134

Practice Phone: 516-597-5070
Practice Fax: 516-597-5067

1629079785 — DR. LINDA G. PELTZ PH.D.
Practice Location Address:

366 N BROADWAY , SUITE 404
JERICHO, NY
11753-2025

Practice Phone: 516-935-1610
Practice Fax:

Directions to “ DR. MICHELLE AHN JEONG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.