Individual
JAE MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 CLARKSON AVENUE, SUITE B4-333, BROOKLYN, NY 11203
(718) 270-4714
(718) 270-1985
Mailing address
450 CLARKSON AVENUE, SUITE B4-333, BROOKLYN, NY 11203
(718) 270-4714
(718) 270-1985
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
258063
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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