Flavia Fernandes Jung
Pediatrician Pediatric Nephrologist
238 Arsenal St
Watertown
, New York 13601-2504
Flavia Fernandes Jung
Pediatrician Pediatric Nephrologist
238 Arsenal St
Watertown
, New York 13601-2504
(315) 782-1330
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Flavia Fernandes Jung
- 238 Arsenal St
- Watertown, NY
- Zip : 13601-2504
- Fax : (315) 782-1330
- Phone : (315) 782-9450
Second Address
- Flavia Fernandes Jung
- 238 Arsenal St
- Watertown, NY
- Zip : 13601-2504
- Fax : (315) 782-1330
- Phone : (315) 782-9450
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 212699 | NY |
| N | 2080P0210X | Pediatric Nephrologist | 2000-01601 | LA |
National Provider Identifier
| NPI | 1770699696 |
|---|---|
| Provider Name | Flavia Fernandes Jung |
| First Address | Watertown, NY 13601-2504 |
| Second Address | Watertown, NY 13601-2504 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2006 |
| Last Update Date | 14/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4131550 | (05) | MD |
| H02046 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.