Fernandes Jung, Flavia

Fernandes Jung, Flavia is an individual health care provider with primary practice located at 238 Arsenal St , Watertown NY 13601-2504. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Fernandes Jung, Flavia can be contacted via phone (315) 782-9450.

Contact Information

Primary practice address
238 Arsenal St Watertown NY 13601-2504
Phone: (315) 782-9450
Fax: (315) 782-1330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X 2000-01601 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 212699 New York

Profile Details

NPI number 1770699696
LBN Legal business name Fernandes Jung, Flavia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Feb 14th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770699696 NPPES
Maryland MEDICAID 4131550

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