Individual
BO YOUNG JANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
9805 63RD RD APT 7H, REGO PARK, NY 11374-1720
(646) 464-2771
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311512
NY
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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