Individual
HYEONG JUN JI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 REDMEN ST, ISLIP TERRACE, NY 11752-2805
(646) 943-0027
Mailing address
5160 VAN KLEECK ST APT 6N, ELMHURST, NY 11373-4216
(646) 943-0027
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003710-1
NY
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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