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1942379052
JAE RYU
FLUSHING, NY
NPI
1942379052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 217530)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
Dr. JAE RYU
133-47 SANFORD AVENUE
FLUSHING, NY 11355
Phone number: 718-359-1507
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Mailing Address
Dr. JAE RYU
80 MARCUS DRIVE PROVIDER ENROLLMENT
MELVILLE, NY 11747
Phone number: 631-391-7887
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