National Provider Identifier

Miyoung Jeoung, SRNA

Miyoung Jeoung, SRNA is listed in the NPPES registry with a primary specialty of Critical Care Medicine Registered Nurse in Buffalo, NY and a listed phone number of (716) 829-6637.

NPI 1447089214Buffalo, NYCritical Care Medicine Registered Nurse

Profile Overview

NPI
1447089214
Provider Type
Individual
Primary Specialty
Critical Care Medicine Registered Nurse
Enumeration Date
July 30, 2024
Last Updated
September 13, 2025

Practice Location

  • 3435 Main St
  • Buffalo, NY 14214-3099

Phone: (716) 829-6637

Mailing Address

  • 4714 Mosey Ln
  • Blasdell, NY 14219-2966

Specialties

  • Critical Care Medicine Registered Nurse (163WC0200X)
Full Record
NPI
1447089214
Entity Type
Individual
Last Name
Jeoung
First Name
Miyoung
Credential
SRNA
Mailing Street Address
4714 Mosey Ln
Mailing City
Blasdell
Mailing State
NY
Mailing ZIP Code
14219-2966
Mailing Country
US
Practice Street Address
3435 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-3099
Practice Country
US
Practice Phone
(716) 829-6637
Enumeration Date
July 30, 2024
Last Updated
September 13, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 13, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Critical Care Medicine Registered Nurse (163WC0200X)