Individual
JIN YOUNG SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3555 NETHERLAND AVE APT 3B, BRONX, NY 10463-1642
(716) 908-7217
Mailing address
3555 NETHERLAND AVE APT 3B, BRONX, NY 10463-1642
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
542925-1
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420851-1
NY
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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