Jin, Su K
Jin, Su K is an sole proprietor health care provider with primary practice located at 3901 Main St Suite #303, Flushing NY 11354-5432. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Jin, Su K can be contacted via phone (718) 359-7605.Contact Information
Primary practice address
3901 Main St Suite #303
Flushing NY 11354-5432
Phone: (718) 359-7605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 048441 | New York |
Profile Details
| NPI number | 1588643696 |
|---|---|
| LBN Legal business name | Jin, Su K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2006 |
| Last updated | Jan 24th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588643696 | NPPES |
| New York | MEDICAID | 02254259 |
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