Individual
SOO YOUN YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST FL 14, NEW YORK, NY 10032-3720
(212) 305-0914
Mailing address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-5408
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
269355
NY
204F00000X
Transplant Surgery Physician
D0080256
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/29/2009
Last updated
07/13/2023
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