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NPI Code Detail

MEDICARE: DR. JEAN YOCK JUNG O.D.

MEDICARE:  DR. JEAN YOCK JUNG  O.D.
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
1152W00000XOptometrist005358NY

General Provider Information

NPI Number : 1922067248
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEAN YOCK JUNG O.D.
Provider Business Mailing Address
First Line : 2094 ALBANY POST ROAD
Second Line : VA HUDSON VALLEY HEALTHCARE SYSTEM OPTOMETRY SERVICE
City : MONTROSE
State : NY
Zip : 10548
Country : US
Telephone Number : 914-737-4400
Fax Number : 914-788-4373
Provider Business Practice Location Address
First Line : 2094 ALBANY POST ROAD
Second Line : VA HUDSON VALLEY HEALTHCARE SYSTEM OPTOMETRY SERVICE
City : MONTROSE
State : NY
Zip : 10548
Country : US
Telephone Number : 914-737-4400
Fax Number : 914-788-4373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 07/17/2007

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