Individual
KYUNGMOON ROH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2419
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(646) 413-9909
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ01262000
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
680524
NY
Other
Enumeration date
03/01/2022
Last updated
09/28/2024
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