Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 036.140553 | IL |
NPI | 1073946299 |
---|---|
Provider Name | Dr. Yuk-Yue Jennifer Mo |
First Address | Long Island City, NY 11109-5501 |
Second Address | Long Island City, NY 11109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2013 |
Last Update Date | 28/06/2018 |