Organization
NYNOS P.C.
Active
Other names
NYNOS (New York Neuro-Ophthalmology and Strabismus) P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOKKWAN JUN MD, PHD (OWNER)
(919) 428-1621
Entity
Organization
Contact information
Practice address
15814 NORTHERN BLVD, ML6, FLUSHING, NY 11358-1135
(919) 428-1621
Mailing address
15814 NORTHERN BLVD, STE ML06, FLUSHING, NY 11358
(718) 799-0302
Taxonomy
Speciality
Code
Description
License number
State
207WX0109X
Neuro-ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05458860
—
NY
Enumeration date
06/30/2022
Last updated
09/12/2022
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