Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 273659 | NY |
N | 207Q00000X | Family Doctor | 273659 | NY |
NPI | 1053606822 |
---|---|
Provider Name | Francis Yoo |
First Address | New York, NY 10019-2401 |
Second Address | New York, NY 10019-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2011 |
Last Update Date | 12/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04238395 | (05) | NY |