Individual
MIA KYONG JU CLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
865 NORTHERN BLVD, SUITE 201, GREAT NECK, NY 11021-5335
(516) 708-2520
Mailing address
18 BEATRICE LN, OLD BETHPAGE, NY 11804-1002
(214) 315-7830
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
278962
NY
Other
Enumeration date
03/22/2012
Last updated
11/29/2016
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