JI SOO MOON

FOREST HILLS, NY
NPI1043804255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  F432459-01)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: MA  RN2324806)
Enumeration Date2021-02-28
Last Update Date2023-07-13
Business Address
JI SOO MOON AG-ACNP
10201 66TH RD
FOREST HILLS, NY 11375-2029
Phone number: 718-830-4000
Mailing Address
JI SOO MOON AG-ACNP
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-1000