| Ichabod S Jung, MD | |
|
117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 | |
| (716) 338-9200 | |
| (716) 338-9250 |
| Full Name | Ichabod S Jung |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 117 Foote Ave, Jamestown, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497784789 | NPI | - | NPPES |
| 2163913 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 220355 (New York) | Primary |
| 208800000X | Urology | MD417045 (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ichabod S Jung, MD 117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 Ph: (716) 338-9200 | Ichabod S Jung, MD 117 Foote Ave, Suite 100, Jamestown, NY 14701-6947 Ph: (716) 338-9200 |
Benjamin B Luong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 | |
Eric David Arnone, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 | |
Ryan White, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 117 Foote Ave, Suite 100, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 | |
Peter J Walter, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 117 Foote Ave, Suite 100, Jamestown, NY 14701 Phone: 716-338-9200 Fax: 716-338-9250 |