Individual
JI YEN SUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
438 W 51ST ST STE 3B, NEW YORK, NY 10019-6503
(212) 937-1079
(646) 435-3080
Mailing address
438 W 51ST ST STE 3B, NEW YORK, NY 10019-6503
(201) 889-1070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060772
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/06/2018
Last updated
06/12/2026
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