Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 431035 | NY |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 431035 | NY |
NPI | 1013464502 |
---|---|
Provider Name | Jeanok Youn |
First Address | New York, NY 10024-1278 |
Second Address | New York, NY 10065-6007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 01/09/2016 |