YOUNG SUNG JUN (NPI# 1487059176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487059176 |
| Entity Type | Individual |
| Full Name | YOUNG SUNG JUN |
| Credential | M.D. |
| Practice Address |
3203 Dunbar Road Attica NY 14011-0501 |
| Practice Telephone | 5855911010 |
| Practice Fax Number | 5855911010 |
| Mailing Telephone | 5855911010 |
| Mailing Fax Number | 5855911010 |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2014-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 132275 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700186863 | Young Joo Jun | Pharmacist | 5000 Bradley Blvd, Bethesda, MD 20815-6559 | 2010-10-23 |
| 1417103946 | Young Jun | Oral & Maxillofacial Surgery | 601 E Yorba Linda Blvd, 9, Placentia, CA 92870-3006 | 2008-08-15 |
| Street Address |
3203 DUNBAR ROAD |
| City | ATTICA |
| State | NY |
| Zip Code | 14011-0501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376702423 | Ronette Ann Wolcott | Registered Nurse | 33 Water Street, Attica, NY 14011 | 2008-06-04 |
| 1275629875 | Joseph Allan Craddock | Dentist | 3325 E Main Street Rd, Attica, NY 14011 | 2006-10-04 |
| 1184694887 | Patricia Mann | Physical Therapist | 120 Prospect St, Step By Step Physical Therapy, Attica, NY 14011 | 2006-01-25 |
| 1144479742 | Jennifer Smith | Licensed Practical Nurse | 122 Market St, Attica, NY 14011-1011 | 2008-09-18 |
| 1720130388 | Daryle Nathan Luplow | Chiropractor | 23 Main St, Attica, NY 14011-1022 | 2007-01-16 |
| 1437609450 | Attica Pharmacy, Inc. | Pharmacy | 2 Market St, Attica, NY 14011-1024 | 2016-10-13 |
| 1497049142 | Diane K Melven | Licensed Practical Nurse | 68 North St, Attica, NY 14011-1035 | 2011-05-29 |
| 1932424553 | Willcare | Home Health | 57 Main St, Attica, NY 14011-1038 | 2010-04-07 |
| 1205312758 | Baley Mallon | Licensed Practical Nurse | 6 Main St Apt B, Attica, NY 14011-1064 | 2018-07-18 |
| 1790341840 | Carrie Rengert | Licensed Practical Nurse | 29 Northview Park, Attica, NY 14011-1111 | 2019-05-14 |
| Find all providers in zip 14011 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750382834 | Omar S Khokhar | General Practice | 3325 E Main Street Rd, Attica, NY 14011-9506 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420472 | Theodean Smith-lawrence | General Practice | 7 Smoke Rise Ln, Wappingers Falls, NY 12590-1220 | 2020-09-03 |
| 1891304325 | Christopher R. Page, M.d., Pllc | General Practice | 46 Route 25a Ste 6, Setauket, NY 11733-2807 | 2020-07-30 |
| 1740804442 | Aliza Hakimian | General Practice | 15 Hill Park Ave Apt 2n, Great Neck, NY 11021-3709 | 2020-05-29 |
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1942829759 | Northeasttelemedicine | General Practice | 483 Coolidge Hill Rd, Diamond Point, NY 12824 | 2020-04-11 |
| 1578198826 | Online Care Medicine PC | General Practice | 26 Oldox Rd, Delmar, NY 12054-2943 | 2020-03-06 |
| 1821621301 | Donnet Andrea Riley | General Practice | 781 Palmer Rd Apt 3a, Bronxville, NY 10708-3309 | 2020-02-12 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1285278291 | Echo Clinical Associates LLC | General Practice | 56 Echo Ave., Ste 1, Miller Place, NY 11764-2454 | 2019-11-01 |
| 1710528583 | Debra Heverly | General Practice | 2315 Whirlpool St # 415, Niagara Falls, NY 14305-2413 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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| 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.