Jo, Peter Jaesung

Jo, Peter Jaesung is an sole proprietor health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jo, Peter Jaesung can be contacted via phone (917) 340-4637.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (917) 340-4637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 350897 New York

Profile Details

NPI number 1003526427
LBN Legal business name Jo, Peter Jaesung
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2022
Last updated Jan 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.

Request for update

Popular Providers