Individual
MINA YOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 LAFAYETTE AVE STE LL5, SUFFERN, NY 10901-4822
(845) 357-5775
(845) 357-5777
Mailing address
300 RIVERFRONT BLVD APT 1333, ELMWOOD PARK, NJ 07407-1670
(201) 874-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19027900
NJ
367500000X
Certified Registered Nurse Anesthetist
26NR19027900
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
720775
NY
Other
Enumeration date
07/31/2023
Last updated
12/22/2023
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