| Kinkee Chung, DO | |
|
117 W. Liberty Street, Rome, NY 13440 | |
| (315) 339-0401 | |
| (315) 339-2957 |
| Full Name | Kinkee Chung |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 117 W. Liberty Street, Rome, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396848388 | NPI | - | NPPES |
| 03866662 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 256761 (New York) | Primary |
| Entity Name | Oneida Medical Practice PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932398997 PECOS PAC ID: 9830272350 Enrollment ID: O20080207000050 |
| Mailing Address | Practice Location Address |
|---|---|
| Kinkee Chung, DO 117 W. Liberty Street, Rome, NY 13440 Ph: (315) 339-0401 | Kinkee Chung, DO 117 W. Liberty Street, Rome, NY 13440 Ph: (315) 339-0401 |
Mrs. Glenda L Jackson, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 W Liberty Street, Rome, NY 13440 Phone: 315-339-0401 Fax: 315-339-2957 |
Ung Kyu Lim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 Cypress St, Rome, NY 13440 Phone: 315-339-6536 |
Dr. Lawrence Michael Glantz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 W Liberty St, Rome, NY 13440 Phone: 315-339-0401 Fax: 315-339-2957 |
Dr. Gulnara Rubinshteyn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Black River Blvd N, Rome, NY 13440 Phone: 315-337-3770 |
Vivienne Elaine Taylor, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Black River Blvd N, Rome, NY 13440 Phone: 315-337-3770 |
Margaret Cooper, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1819 Black River Blvd N, Rome, NY 13440 Phone: 315-388-7184 Fax: 315-339-1975 |