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1326774050
INNKYU MOON
NEW YORK, NY
NPI
1326774050
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 030027)
Enumeration Date
2022-07-26
Last Update Date
2024-08-07
Business Address
INNKYU MOON
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029-6504
Phone number: 212-241-1653
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Mailing Address
INNKYU MOON
1 GUSTAVE L LEVY PL # 1118
NEW YORK, NY 10029-6504
Phone number:
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