Individual
JI EUN OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
8 CLARK DR, GREAT NECK, NY 11020-1532
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
733029
NY
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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