Provider Demographics
NPI:1457857997
Name:AO, JUNHONG (DO)
Entity Type:Individual
Prefix:DR
First Name:JUNHONG
Middle Name:
Last Name:AO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 82ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3008
Mailing Address - Country:US
Mailing Address - Phone:917-771-6020
Mailing Address - Fax:
Practice Address - Street 1:1912 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3911
Practice Address - Country:US
Practice Address - Phone:929-969-6808
Practice Address - Fax:718-709-4298
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308576208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics