National Provider Identifier
Jiyeon Jung, MD
Jiyeon Jung, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 893-8550.
Profile Overview
- NPI
- 1104075308
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- September 11, 2008
- Last Updated
- July 14, 2015
Practice Location
- 1500 Broadway Ave
- Buffalo, NY 14212-1845
Phone: (716) 893-8550
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1104075308
- Entity Type
- Individual
- Last Name
- Jung
- First Name
- Jiyeon
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1500 Broadway Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1845
- Mailing Country
- US
- Mailing Phone
- (716) 893-8550
- Mailing Fax
- (716) 893-4020
- Practice Street Address
- 1500 Broadway Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1845
- Practice Country
- US
- Practice Phone
- (716) 893-8550
- Practice Fax
- (716) 893-4020
- Enumeration Date
- September 11, 2008
- Last Updated
- July 14, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)