Individual
JENNA HYEONSOO JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1017 JACKSON AVE, LONG ISLAND CITY, NY 11101-5986
(718) 971-9095
(718) 584-5869
Mailing address
1017 JACKSON AVE, LONG ISLAND CITY, NY 11101-5986
(718) 971-9095
(718) 584-5869
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
309501
NY
208000000X
Pediatrics Physician
309501
NY
Other
Enumeration date
03/23/2018
Last updated
07/25/2023
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