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Organization

JSMK UROLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENN KIM (OFFICE MANAGER)
(718) 888-7800
Entity
Organization

Contact information

Practice address
140 SYLVAN AVE STE 202, ENGLEWOOD CLIFFS, NJ 07632-2559
(718) 888-7800
Mailing address
4161 KISSENA BLVD STE 1B, FLUSHING, NY 11355-3105
(718) 888-7800

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
10/11/2019
Last updated
10/11/2019
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