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Organization

JANE YOO, MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANE YOO MD (MANAGING DIRECTOR)
(617) 308-7994
Entity
Organization

Contact information

Practice address
620 PARK AVE, NEW YORK, NY 10065-6591
(617) 308-7994
Mailing address
1 COLUMBUS PL APT S36D, NEW YORK, NY 10019-8213

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207NS0135X
Procedural Dermatology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
262903
NY LICENSE
Enumeration date
05/26/2016
Last updated
03/07/2023
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