Individual
DR. JING JA YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 579-2658
(718) 579-2659
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 579-2658
(718) 579-2659
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
115516
NY
208000000X
Pediatrics Physician
Primary
115516-1
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
115516-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00213350
—
NY
Enumeration date
10/26/2006
Last updated
04/24/2012
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