Jenna Hyeonsoo Jung, MD
Allergy & Immunology in Long Island City, NY. Individual provider (NPI-1).
NPI number1508360439
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1508360439
- Entity type
- Individual (NPI-1)
- Name
- Jenna Hyeonsoo Jung
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2018
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | 309501 | NY | Yes |
| 208000000X | Pediatrics | 309501 | NY |
Practice location
1017 Jackson AveLong Island City, NY 11101-5986
Phone 718-971-9095 · Fax 718-584-5869
Mailing address
1017 Jackson AveLong Island City, NY 11101-5986
Phone 718-971-9095 · Fax 718-584-5869
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All 6 Allergy & Immunology Physician providers in Long Island City · All 2,780 providers in Long Island City
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