Individual
BONGSUN YUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTER NURSE
Contact information
Practice address
1605 215TH ST, BAYSIDE, NY 11360-1226
(718) 631-5925
Mailing address
1605 215TH ST, BAYSIDE, NY 11360-1226
(718) 631-5925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
237238
NY
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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