Organization
KOOCK E JUNG MD PC
Active
Other names
Psychotherapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KOOCK E JUNG (OFFICE MANAGER)
(518) 793-1160
Entity
Organization
Contact information
Practice address
597 BAY ROAD, QUEENSBURY, NY 12804
(518) 793-1160
(518) 793-1255
Mailing address
597 BAY ROAD, QUEENSBURY, NY 12804
(518) 793-1160
(518) 793-1255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
12/16/2011
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