Individual
KI SOOK YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 VALLEY RD, STONY BROOK, NY 11790-1615
(201) 909-9898
(201) 845-0840
Mailing address
107 VAN BUREN DR, PARAMUS, NJ 07652-1337
(201) 909-9898
(201) 845-0840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA59813
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047104
—
NJ
Enumeration date
07/03/2006
Last updated
09/26/2014
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