Ichabod S Jung is a Urology in Jamestown, New York. Ichabod S Jung practices all healthcare services and medical treatments related to Urology. The NPI Number for Ichabod S Jung is 1497784789. The last update date is 2011-02-03.
Ichabod S Jung's current location address is 117 Foote Ave, Jamestown, New York. You can contact this provider via phone number 7163389200 and fax number 7163389250. The mailing address for Ichabod S Jung is 117 Foote Ave, Jamestown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ichabod S Jung |
|---|---|
| Address | 117 Foote Ave, Jamestown, New York |
| Phone Number | 7163389200 |
| Fax Number | 7163389250 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497784789 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2011-02-03 |
Provider Mailing Address Detail
| Address | 117 Foote Ave |
|---|---|
| City | Jamestown |
| State | New York (NY) |
| Post Code | 147016947 |
| Phone Number | 7163389200 |
| Fax Number | 7163389250 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 220355 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2163913 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ichabod S Jung by the Centers for Medicare & Medicaid Services (CMS)?
The Ichabod S Jung has been assigned the NPI (National Provider Identifier) 1497784789. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Ichabod S Jung?
The Ichabod S Jung is situated at 117 Foote Ave, in the city of Jamestown, state of NY, with the zip code 147016947.
What is Ichabod S Jung's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ichabod S Jung is Urology, and the taxonomy classification code that categorizes this area of expertise is 208800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497784789 to Ichabod S Jung?
The Centers for Medicare & Medicaid Services originally issued the 1497784789 to Ichabod S Jung on 2006-07-01.
As of what date were the details pertaining to Ichabod S Jung last refreshed?
The information related to the Ichabod S Jung, including its address, specialty, and other relevant details, was last updated on 2011-02-03.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM