PETER JAESUNG JO

FLUSHING, NY
NPI1003526427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  350897)
Enumeration Date2022-11-28
Last Update Date2023-01-10
Business Address
PETER JAESUNG JO
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 917-340-4637
Mailing Address
PETER JAESUNG JO
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number:
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