JI SUN SONG

VALLEY STREAM, NY
NPI1851016851
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  310880)
Enumeration Date2022-10-11
Last Update Date2024-05-08
Business Address
JI SUN SONG NP
900 FRANKLIN AVE
VALLEY STREAM, NY 11580-2145
Phone number: 516-256-6000
Mailing Address
JI SUN SONG NP
21763 77TH AVE
OAKLAND GARDENS, NY 11364-3024
Phone number: 951-333-1977
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