Individual
MINKYUNG AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BLUEBIRD DR, SYOSSET, NY 11791-4904
(646) 640-6452
Mailing address
19 BLUEBIRD DR, SYOSSET, NY 11791-4904
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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