Jung, Josephine O

Jung, Josephine O is an sole proprietor health care provider with primary practice located at 1575 Hillside Ave 302, New Hyde Park NY 11040-2521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jung, Josephine O can be contacted via phone (516) 775-8000.

Contact Information

Primary practice address
1575 Hillside Ave 302 New Hyde Park NY 11040-2521
Fax: (167) 775-8001
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 199987 New York

Profile Details

NPI number 1689663353
LBN Legal business name Jung, Josephine O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated Sep 27th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689663353 NPPES
New York MEDICAID 01724047

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