Dr. Jane Young Yoo
Dermatologist MOHS-Micrographic Surgeon
162 W 56th St Ste 304-305
New York
, New York 10019-3831
Dr. Jane Young Yoo
Dermatologist MOHS-Micrographic Surgeon
162 W 56th St Ste 304-305
New York
, New York 10019-3831
(617) 308-7994
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jane Young Yoo
- 1 Columbus Pl Apt S36e
- New York, NY
- Zip : 10019-8213
- Phone : (617) 308-7994
Second Address
- Dr. Jane Young Yoo
- 162 W 56th St Ste 304-305
- New York, NY
- Zip : 10019-3831
- Fax : (646) 344-1053
- Phone : (646) 844-0424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | 262903 | NY |
| N | 207N00000X | Dermatologist | 52761 | CT |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 262903 | NY |
National Provider Identifier
| NPI | 1447571518 |
|---|---|
| Provider Name | Dr. Jane Young Yoo |
| First Address | New York, NY 10019-8213 |
| Second Address | New York, NY 10019-3831 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2010 |
| Last Update Date | 08/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1225486624 | PRACTICE NPI (01) | NY |
| 1447571518 | NPI (01) | |
| 25MA09738000 | NJ STATE LICENSE (01) | NJ |
| 261951 | MA STATE LICENSE (01) | MA |
| 262903 | NY STATE LICENSE (01) | NY |
| 52761 | CT STATE LICENSE (01) | CT |
| FY4386113 | DEA (01) | NY |
| FY5495519 | DEA (01) | NJ |
| MD15086 | RI STATE LICENSE (01) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.