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Individual

JINSU YO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGNP-C, AGPCNP-BC

Contact information

Practice address
255 EXECUTIVE DRIVE, SUITE 210, PLAINVIEW, NY 11803
(516) 687-9444
Mailing address
255 EXECUTIVE DR STE 210, PLAINVIEW, NY 11803-1711

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312517
NY
363LG0600X
Gerontology Nurse Practitioner
F312517
NY

Other

Enumeration date
03/10/2026
Last updated
03/10/2026
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