Individual
BO NA YOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21016 NORTHERN BLVD UNIT 2A, BAYSIDE, NY 11361-3240
(718) 886-2870
Mailing address
2 HORIZON RD, 410, FORT LEE, NJ 07024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342874
NY
Other
Enumeration date
02/12/2022
Last updated
03/20/2024
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