Song, Jiyoun

Song, Jiyoun is an individual health care provider with primary practice located at 15408 Northern Blvd #2K, Flushing NY 11354-5040. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Song, Jiyoun can be contacted via phone (718) 445-0200.

Contact Information

Primary practice address
15408 Northern Blvd #2K Flushing NY 11354-5040
Phone: (718) 445-0200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 694059 New York
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 431104 New York

Profile Details

NPI number 1003347253
LBN Legal business name Song, Jiyoun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Mar 21st, 2017 - 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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