Individual
GABRIEL H. JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17660 UNION TPKE, SUITE 360, FRESH MEADOWS, NY 11366-1526
(718) 460-2300
(718) 460-9697
Mailing address
176 60 UNION TPKE, SUITE 360, FRESH MEADOWS, NY 11366
(718) 460-2300
(718) 460-9697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
230344
NY
207RH0003X
Hematology & Oncology Physician
Primary
230344-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02647698
—
NY
Enumeration date
02/08/2007
Last updated
06/24/2010
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