Individual
JOO YOUNG NHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Mailing address
3569 BROADWAY APT 3B, NEW YORK, NY 10031-3210
(914) 307-8338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061816-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2020
Last updated
05/18/2022
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