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Individual

YOUNGMI SEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
148 ROSLYN RD, MINEOLA, NY 11501-3005
(646) 422-9133
Mailing address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 560-6000

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F309336-01
NY

Other

Enumeration date
12/26/2019
Last updated
12/26/2019
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