Individual
MS. JOO YEON SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 734-8900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
719398
NY
207Q00000X
Family Medicine Physician
Primary
350154
NY
Other
Enumeration date
07/13/2022
Last updated
12/06/2022
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