Individual
SUJI JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3118 CRESCENT ST APT 4D, ASTORIA, NY 11106-3779
(917) 488-0740
Mailing address
3118 CRESCENT ST APT 4D, ASTORIA, NY 11106-3779
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86132713
NY
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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