Provider Demographics
NPI:1578861233
Name:JUNG, HYE-YOUNG (BS IN PHARM)
Entity Type:Individual
Prefix:MS
First Name:HYE-YOUNG
Middle Name:
Last Name:JUNG
Suffix:
Gender:F
Credentials:BS IN PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ELWOOD RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-2200
Mailing Address - Country:US
Mailing Address - Phone:917-301-6928
Mailing Address - Fax:
Practice Address - Street 1:577 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-4203
Practice Address - Country:US
Practice Address - Phone:631-368-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051147183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist