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1154784452
HYO PARK
NEW YORK, NY
NPI
1154784452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f340137-1)
Enumeration Date
2016-04-04
Last Update Date
2019-01-22
Business Address
HYO PARK NP-C
1 PENN PLZ FL 8
NEW YORK, NY 10119-0899
Phone number: 646-630-5163
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Mailing Address
HYO PARK NP-C
14221 26TH AVE APT 1C
FLUSHING, NY 11354-1709
Phone number: 347-840-0050
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