Individual provider · Type 1 NPI

Michelle Songkyung Roh, DDS

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1366065484 Active

Practice location

800 Poly Pl
Brooklyn, NY 11209-7104

Mailing address

345 E 24th St
New York, NY 10010-4020

Other practice locations

  • 345 E 24th St, New York, NY 10010-4020 · (646) 883-9744

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366065484

Michelle Songkyung Roh, DDS's National Provider Identifier is 1366065484, issued on May 22, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Nov 16, 2021.