Individual
KYUNG HEE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7674
(631) 447-3082
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 654-7674
(631) 447-3082
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F305206
NY
Other
Enumeration date
10/05/2009
Last updated
06/29/2023
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