Individual
MRS. HYERYOUNG GWIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 WILSON DR, CRESSKILL, NJ 07626-1711
(201) 281-5311
Mailing address
217 WILSON DR, CRESSKILL, NJ 07626-1711
(201) 281-5311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR17675200
NJ
163W00000X
Registered Nurse
Primary
704561-1
NY
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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