Individual
DR. JANE YOUNG YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPP
Contact information
Practice address
162 W 56TH ST STE 304-305, NEW YORK, NY 10019-3831
(646) 844-0424
(646) 344-1053
Mailing address
162 W 56TH ST STE 304-305, NEW YORK, NY 10019-3831
(646) 844-0424
(646) 344-1053
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
262903
NY
207N00000X
Dermatology Physician
52761
CT
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
262903
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225486624
PRACTICE NPI
NY
01
—
1447571518
NPI
—
01
—
25MA09738000
NJ STATE LICENSE
NJ
01
—
261951
MA STATE LICENSE
MA
01
—
262903
NY STATE LICENSE
NY
01
—
52761
CT STATE LICENSE
CT
01
—
MD15086
RI STATE LICENSE
RI
Enumeration date
06/11/2010
Last updated
08/02/2023
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