Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101256962 | VA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | D76348 | MD |
N | 207YP0228X | Pediatric Otolaryngology | MD041641 | DC |
NPI | 1598953846 |
---|---|
Provider Name | Dr. Estelle Sukyung Yoo |
First Address | Alexandria, VA 22310-8904 |
Second Address | Alexandria, VA 22301-1361 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2007 |
Last Update Date | 29/09/2016 |