Ko, Hae Jung

Ko, Hae Jung is an sole proprietor health care provider with primary practice located at 4152 Little Neck Pkwy 2Nd Floor, Little Neck NY 11363-1708. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ko, Hae Jung can be contacted via phone (646) 265-4618.

Contact Information

Primary practice address
4152 Little Neck Pkwy 2Nd Floor Little Neck NY 11363-1708
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02389900 New Jersey
Dental Providers / Dentist 122300000X 054831-1 New York

Profile Details

NPI number 1487899886
LBN Legal business name Ko, Hae Jung
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2008
Last updated May 19th, 2016 - about 8 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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