Fernandes Jung, Flavia
Fernandes Jung, Flavia is an individual health care provider with primary practice located at 238 Arsenal St , Watertown NY 13601-2504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fernandes Jung, Flavia can be contacted via phone (315) 782-9450.Contact Information
Primary practice address
238 Arsenal St
Watertown NY 13601-2504
Phone: (315) 782-9450
Fax: (315) 782-1330
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | 2000-01601 | Louisiana |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 212699 | New York |
Profile Details
NPI number | 1770699696 |
---|---|
LBN Legal business name | Fernandes Jung, Flavia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2006 |
Last updated | Feb 14th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770699696 | NPPES |
Maryland | MEDICAID | 4131550 |
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