Individual
JI YEON SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 W 168TH ST STE 246, NEW YORK, NY 10032-3726
(301) 452-1866
Mailing address
710 W 168TH ST STE 246, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
317824
NY
Other
Enumeration date
05/31/2018
Last updated
06/21/2022
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