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Individual

MIJUNG MUN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
20939 45TH DR, BAYSIDE, NY 11361-3231
(917) 238-0102
Mailing address
20939 45TH DR, BAYSIDE, NY 11361-3231
(917) 238-0102

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
677066
NY
163WS0200X
School Registered Nurse
677066
NY

Other

Enumeration date
10/22/2021
Last updated
10/22/2021
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