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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ICHABOD S JUNG, MD

Active

ICHABOD S JUNG, MD is a Urology healthcare provider located in JAMESTOWN, New York. NPI 1497784789 is currently active in the NPPES registry. Verify at CMS.

Urology · JAMESTOWN, NY

Registration Details

NPI Number
1497784789
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2006 (20.139495392738 yrs)
Last Updated
Feb 3, 2011
Licenses
220355 (NY)
MD417045 (PA)

Practice Information

Address
117 FOOTE AVE
SUITE 100
JAMESTOWN, NY, 147016947
Browse NY providers · Browse ZIP 14701
Phone
7163389200
Fax
7163389250
Primary Specialty
Urology
208800000X
Additional Specialty
Urology

Other Urology Providers in JAMESTOWN, NY

Name Credential NPI
PETER J WALTER MD 1992735377
RYAN WHITE MD 1912932799
ERIC DAVID ARNONE M.D. 1447578943
BENJAMIN B LUONG M.D. 1336439744
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.