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KOOCK E JUNG MD PC NPI 1821275256


NPI Information

NPI: 1821275256
Provider Name: KOOCK E JUNG MD PC

Other Name: PSYCHOTHERAPY CENTER

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
597 BAY ROAD
QUEENSBURY, NY
ZIP 12804
Phone: (518) 793-1160
Get Directions

KOOCK E JUNG MD PC is a psychiatry psychiatry neurology in Queensbury, NY. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. KOOCK E JUNG MD PC NPI is 1821275256. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Psychotherapy Center.

The provider's business location address is:

597 BAY ROAD
QUEENSBURY, NY
ZIP 12804
Phone: (518) 793-1160
Fax: (518) 793-1255

The provider's authorized official is Koock E Jung .
The authorized official title is Office Manager and has the following contact phone number (518) 793-1160.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 12/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA1374MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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