Individual
MRS. OKE JOO N/A YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2629 210TH ST, BAYSIDE, NY 11360-2446
(646) 714-5260
Mailing address
2629 210TH ST, BAYSIDE, NY 11360-2446
(646) 714-5260
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401784
—
NY
Enumeration date
11/20/2017
Last updated
11/20/2017
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