Individual
STACEY SOOMIN YOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7800
Mailing address
436 9TH STREET, SUITE B, PALISADES PARK, NJ 07650
(860) 338-6677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433161
NY
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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