Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 145037 | NY |
NPI | 1710922406 |
---|---|
Provider Name | In Suk Seo |
First Address | Englewood Cliffs, NJ 07632-1912 |
Second Address | Brooklyn, NY 11201-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 19/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01007698 | (05) | NY |
E49779 | (02) |