Individual
MRS. KYOUNG SUN BAEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN RPN
Contact information
Practice address
6 SYLVAN AVENUE, SUITE D, ENGLEWOOD CLIFFS, NJ 07632-2432
(201) 967-8425
(201) 967-8443
Mailing address
6 SYLVAN AVENUE, SUITE D, ENGLEWOOD CLIFFS, NJ 07632-2432
(201) 967-8425
(201) 967-8443
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00644900
NJ
363LG0600X
Gerontology Nurse Practitioner
26NR11834400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0527220
—
NJ
Enumeration date
08/17/2016
Last updated
10/02/2024
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