Ahn, Nancy Jiyoung

Ahn, Nancy Jiyoung is an individual health care provider with primary practice located at 155 Spring St Fl 4 , New York NY 10012. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Ahn, Nancy Jiyoung can be contacted via phone (212) 226-1899.

Contact Information

Primary practice address
155 Spring St Fl 4 New York NY 10012
Phone: (212) 226-1899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 059426 New York

Profile Details

NPI number 1043673114
LBN Legal business name Ahn, Nancy Jiyoung
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2016
Last updated Jun 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043673114 NPPES
New York MEDICAID 04944294

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