Individual
JEONGHWA MIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
152 38TH ST, LINDENHURST, NY 11757-2611
(631) 680-9793
(631) 991-8506
Mailing address
152 38TH ST, LINDENHURST, NY 11757-2611
(631) 680-9793
(631) 991-8506
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
458005
NY
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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