Individual provider · Type 1 NPI
Jaeyeon Kang
Primary Care Nurse Practitioner · New York, NY
NPI number
1619785508
Active
Practice location
1 Gustave L Levy Pl
New York, NY 10029-6504
Mailing address
160 E 91st St Apt 6E
New York, NY 10128-2465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | F311929 (NY) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1619785508
Jaeyeon Kang's National Provider Identifier is 1619785508, issued on Dec 23, 2024. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New York, NY. The record was last updated on Dec 23, 2024.