Bae, Moonju

Bae, Moonju is an individual health care provider with primary practice located at 3750 72Nd St , Jackson Heights NY 11372-6143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bae, Moonju can be contacted via phone (844) 692-4692.

Contact Information

Primary practice address
3750 72Nd St Jackson Heights NY 11372-6143
Phone: (844) 692-4692
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F343116 New York

Profile Details

NPI number 1912484627
LBN Legal business name Bae, Moonju
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2018
Last updated May 22nd, 2026 - about 5 months 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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