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Individual

MRS. MYUNG C AHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4500 PARSONS BLVD, FLUSHING, NY 11355-2205
(718) 670-5790
Mailing address
9 DELAWARE AVE, PORT WASHINGTON, PORT WASHINGTON, NY 11050-2903
(516) 767-3455

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
304602
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03480375
NY
Enumeration date
10/07/2008
Last updated
02/08/2013
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