Individual
SUKBUM YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3197
(201) 652-3311
Mailing address
49 HOMEWOOD PL, MANHASSET, NY 11030-1217
(812) 345-3010
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
057900
NY
1223E0200X
Endodontics
22DL02713301
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2014
Last updated
03/01/2022
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