Individual
MIYOUNG JEOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SRNA
Contact information
Practice address
3435 MAIN ST, BUFFALO, NY 14214-3099
(716) 829-6637
Mailing address
4714 MOSEY LN, BLASDELL, NY 14219-2966
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
729295
NY
Other
Enumeration date
07/30/2024
Last updated
09/13/2025
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