Jung, Lily
Jung, Lily is an sole proprietor health care provider with primary practice located at 8002 Kew Gardens Rd Suite C-108, Kew Gardens NY 11415-3600. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Jung, Lily can be contacted via phone (718) 544-2222.Contact Information
Primary practice address
8002 Kew Gardens Rd Suite C-108
Kew Gardens NY 11415-3600
Phone: (718) 544-2222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV004043-1 | New York |
Profile Details
| NPI number | 1881667087 |
|---|---|
| LBN Legal business name | Jung, Lily |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 30th, 2008 - about 17 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 | 1881667087 | NPPES |
| New York | MEDICAID | 01194641 |
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