BOLBO JUNG


Address: 114 Squire Hall, Buffalo, NY 14214-8006
Phone: 7168293717

BOLBO JUNG (NPI# 1073174074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073174074
Entity Type Individual
Full Name BOLBO JUNG
Credential DMD
Practice Address 114 Squire Hall
Buffalo
NY 14214-8006
Practice Telephone 7168293717
Mailing Telephone 7168293717
Enumeration Date 2019-06-21
Last Update Date 2019-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 114 SQUIRE HALL
City BUFFALO
State NY
Zip Code 14214-8006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669563532 University Dental Practice Services, Inc Dentist 114 Squire Hall, Buffalo, NY 14214-8006 2006-09-27
1063070233 Ayah Koleilat I Dentist 114 Squire Hall, Buffalo, NY 14214 2019-06-03
1144714197 Jennifer Branch Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214-8006 2018-06-21
1801389689 Carl E Fusco-gessick Dentist 114 Squire Hall, Buffalo, NY 14214-8006 2018-06-07
1659801496 Hai Ngoc Huynh Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214-8006 2017-06-14
1841728482 Carly Jessica Greene Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214 2017-05-26
1407389869 Robert Cox Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214-8006 2017-04-04
1548616204 Nicole Ostro Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214 2016-05-11
1518348804 Dane Hendry Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214-8006 2015-06-12
1003294117 Kyle Drew Shaw Student in an Organized Health Care Education/Training Program 114 Squire Hall, Buffalo, NY 14214-8006 2015-05-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346862935 Hafiz Muhammad Fazeel Student in an Organized Health Care Education/Training Program 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 2020-05-18
1962031542 Sana Annan Anesthesiology 195 Holden St, Buffalo, NY 14214 2020-04-06
1508404401 Gabrielle Korman Counselor 70 Jewett Parkway, Buffalo, NY 14214 2019-12-11
1215581541 Ahmed Nagy Abdelrahman Speech-Language Pathologist 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 2019-07-25
1316590086 Megan Elizabeth Quinn Social Worker 34 Benwood Ave., Buffalo, NY 14214 2019-07-22
1235690553 Iqra Qamar Student in an Organized Health Care Education/Training Program 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 2019-03-28
1477034676 April Forsaith Villacrusis Specialist/Technologist 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 2018-08-24
1437656675 Anum Nida Student in an Organized Health Care Education/Training Program Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 2018-04-12
1710480173 Wny Podiatric Associates Pllc Podiatrist 2121 Main St Ste 214, Buffalo, NY 14214 2018-03-13
1043738446 Alexander Paul Peters Physical Therapist 53 Robie St, Apt 3, Buffalo, NY 14214 2017-09-06
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427655273 Daniel Edwards Student in an Organized Health Care Education/Training Program 52 Angle St Uppr, Buffalo, NY 14214-1139 2020-10-05
1497366413 Krista Lea Marita Koskinen Student in an Organized Health Care Education/Training Program 462 Grider Street, 11th Floor, Erie County Medical Cent, Buffalo, NY 14215 2020-08-13
1851919112 Temitope Oluwaseun Ajayi Student in an Organized Health Care Education/Training Program 132 Affinity Lane, Buffalo, NY 14215 2020-07-13
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1356964043 Andrew Buck Student in an Organized Health Care Education/Training Program 3435 Main St # 119, Buffalo, NY 14214-3001 2020-05-28
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1346862935 Hafiz Muhammad Fazeel Student in an Organized Health Care Education/Training Program 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 2020-05-18
1134741986 Alexandra Lucia Tibil Student in an Organized Health Care Education/Training Program 462 Grider Street, Erie County Medical Center David K., Buffalo, NY 14215 2020-05-15
Find all providers in BUFFALO

Competitor

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City BUFFALO
Zip Code 14214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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