Individual provider · Type 1 NPI

Sunim Oh

Primary Care Nurse Practitioner · Bronx, NY

NPI number 1417517111 Active · reactivated Oct 19, 2022

Practice location

3130 Grand Concourse # 11N
Bronx, NY 10458-1213

Call (917) 724-1669 Map

Mailing address

491 S Bethlehem Pike Apt H14
Fort Washington, PA 19034-2333

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XF04190578 (NY)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1417517111

Sunim Oh's National Provider Identifier is 1417517111, issued on Jun 17, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bronx, NY. The record was last updated on Oct 19, 2022.