Individual
PHYU PHYU SOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
120 MINEOLA BLVD, MINEOLA, NY 11501-4064
(212) 263-5676
Mailing address
120 MINEOLA BLVD, MINEOLA, NY 11501-4064
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430951-1
NY
Other
Enumeration date
05/24/2016
Last updated
03/23/2021
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