Hong, Jin Joo

Hong, Jin Joo is an sole proprietor health care provider with primary practice located at 131-72 40Th Road , Flushing NY 11354. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hong, Jin Joo can be contacted via phone (718) 587-1111.

Contact Information

Primary practice address
131-72 40Th Road Flushing NY 11354
Fax: (718) 886-3903
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F339278 New York

Profile Details

NPI number 1194180661
LBN Legal business name Hong, Jin Joo
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2015
Last updated Jul 10th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194180661 NPPES
New York MEDICAID 05133862

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