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NPI Code Detail

MEDICARE: DR. IRENE JONG MD

MEDICARE:  DR. IRENE  JONG  MD
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
1207R00000XInternal Medicine Physician215361NY

General Provider Information

NPI Number : 1659374353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRENE JONG MD
Provider Business Mailing Address
First Line : 73 MARKET ST
Second Line :
City : YONKERS
State : NY
Zip : 10710
Country : US
Telephone Number : 914-848-8085
Fax Number : 914-607-4771
Provider Business Practice Location Address
First Line : 73 MARKET ST
Second Line :
City : YONKERS
State : NY
Zip : 10710-7602
Country : US
Telephone Number : 914-848-8085
Fax Number : 914-607-4771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 10/16/2013

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