Individual
JINSUN JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16303 HORACE HARDING EXPY STE 100, FRESH MEADOWS, NY 11365-1449
(718) 454-4600
Mailing address
7 HARDING AVE, ROSLYN HEIGHTS, NY 11577-2002
(516) 801-0474
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F349360-01
NY
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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