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NPI Code Detail

MEDICARE: DR. JUNHONG AO DO

MEDICARE: DR. JUNHONG AO DO
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
1208000000XPediatrics Physician308576NY

General Provider Information

NPI Number : 1457857997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUNHONG AO DO
Provider Business Mailing Address
First Line : 1352 82ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3008
Country : US
Telephone Number : 917-771-6020
Fax Number :
Provider Business Practice Location Address
First Line : 1912 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3911
Country : US
Telephone Number : 929-969-6808
Fax Number : 718-709-4298
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2018
Last Update Date : 01/09/2024

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