MOON JU BAE

BRONX, NY
NPI1912484627
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F343116)
Enumeration Date2018-07-25
Last Update Date2018-07-25
Business Address
MOON JU BAE
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7295
Mailing Address
MOON JU BAE
3198 GRAND CONCOURSE
BRONX, NY 10458-1000
Phone number: 718-618-0401
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