Clar, Mia Kyong Ju
Clar, Mia Kyong Ju is an individual health care provider with primary practice located at 865 Northern Blvd Suite 201, Great Neck NY 11021-5335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Clar, Mia Kyong Ju can be contacted via phone (516) 708-2520.Contact Information
Primary practice address
865 Northern Blvd Suite 201
Great Neck NY 11021-5335
Phone: (516) 708-2520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 278962 | New York |
Profile Details
| NPI number | 1609142793 |
|---|---|
| LBN Legal business name | Clar, Mia Kyong Ju |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2012 |
| Last updated | Nov 29th, 2016 - about 9 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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