Su, James Yu-Jen

Su, James Yu-Jen is an individual health care provider with primary practice located at 601 W 181St St Suite 24, New York NY 10033-4914. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Su, James Yu-Jen can be contacted via phone (212) 928-4800.

Contact Information

Primary practice address
601 W 181St St Suite 24 New York NY 10033-4914
Phone: (212) 928-4800
Fax: (212) 928-3436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 041389 New York

Profile Details

NPI number 1710976923
LBN Legal business name Su, James Yu-Jen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Aug 19th, 2015 - about 8 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 1710976923 NPPES
New York MEDICAID 01078528

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