Basham, Jungyun

Basham, Jungyun is an sole proprietor health care provider with primary practice located at 7535 197Th St , Fresh Meadows NY 11366-1816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Basham, Jungyun can be contacted via phone (718) 314-6965.

Contact Information

Primary practice address
7535 197Th St Fresh Meadows NY 11366-1816
Phone: (718) 314-6965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F344725 New York

Profile Details

NPI number 1669023370
LBN Legal business name Basham, Jungyun
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2019
Last updated Sep 24th, 2019 - about 6 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.

Request for update

Popular Providers