Individual
LESLIE JEONGMI JOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE # N5306, NEW YORK, NY 10029-6508
(212) 241-8287
Mailing address
192 LICATA DR, NEW MILFORD, NJ 07646-1027
(347) 933-1014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ15017300
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
311638
NY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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