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
Phone: (718) 587-1111
Fax: (718) 886-3903
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194180661 | NPPES |
| New York | MEDICAID | 05133862 |
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