Individual
MYONG YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 BERGEN BLVD STE 5, FORT LEE, NJ 07024-2164
(201) 314-6079
(201) 944-2391
Mailing address
1475 BERGEN BLVD STE 5, FORT LEE, NJ 07024-2164
(201) 314-6079
(201) 944-2391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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