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Contact Information

RICHARD S JUNG, MD
270 E MAIN ST
BAY SHORE, NY11706-8420
 Phone: 631-591-7450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Neurology

2084V0102X 86 Physician/Neuropsychiatry
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for RICHARD S JUNG · (Male)

NPI # 1477732477
Status Active
Credentials MD
Entity Individual
Enumeration date 10/26/2007
Last updated 07/25/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2013006676
  • NY License # 316974
  • MO Medicaid 1477732477
  • MO Other 2500017477 MO LICENSE
  • NY Other 316974 NY LICENSE
Hospital affiliation(s)
  • NORTHWEST HOSPITAL CENTER - (Acute Care)
    5401 OLD COURT ROAD
    RANDALLSTOWN, MD 21133
  • SINAI HOSPITAL OF BALTIMORE - (Acute Care)
    2401 WEST BELVEDERE AVENUE
    BALTIMORE, MD 21215
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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