Individual
JI HEUI HEUI NOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4008 FORLEY ST, ELMHURST, NY 11373-4698
(718) 446-0270
Mailing address
4008 FORLEY ST, ELMHURST, NY 11373-4698
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
383045
NY
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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