Individual
SOH RA JUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E 82ND ST APT 4A, NEW YORK, NY 10028-6068
(914) 575-8254
Mailing address
411 E 82ND ST APT 4A, NEW YORK, NY 10028-6068
(914) 575-8254
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407441
NY
Other
Enumeration date
11/02/2013
Last updated
10/09/2025
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