Individual
JIYONG JEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
14431 41ST AVE, APT L2, FLUSHING, NY 11355-1452
(201) 660-5590
Mailing address
201 12TH ST, APT 18, PALISADES PARK, NJ 07650-2063
(201) 660-5590
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00329300
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
N006752
NY
Other
Enumeration date
06/26/2013
Last updated
08/08/2016
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