Individual
MR. BOJUN NI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018441-1
NY
Other
Enumeration date
02/19/2015
Last updated
07/08/2023
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