Individual
SEUNGHYUN JAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 E 78TH ST, NEW YORK, NY 10075-0406
(646) 914-2588
Mailing address
162 E 78TH ST, NEW YORK, NY 10075-0406
(646) 914-2588
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
061735
NY
1223P0700X
Prosthodontics
Primary
061735
NY
Other
Enumeration date
07/14/2015
Last updated
10/29/2025
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