JUNGYUN BASHAM

FRESH MEADOWS, NY
NPI1669023370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F344725)
Enumeration Date2019-09-24
Last Update Date2019-09-24
Business Address
JUNGYUN BASHAM NP
7535 197TH ST
FRESH MEADOWS, NY 11366-1816
Phone number: 718-314-6965
Mailing Address
JUNGYUN BASHAM NP
7535 197TH ST
FRESH MEADOWS, NY 11366-1816
Phone number: 718-314-6965
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