MRS. OKE JOO N/A YOO


Address: 2629 210th St, Bayside, NY 11360-2446
Phone: 6467145260

MRS. OKE JOO N/A YOO (NPI# 1023522596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023522596
Entity Type Individual
Full Name MRS. OKE JOO N/A YOO
Practice Address 2629 210th St
Bayside
NY 11360-2446
Practice Telephone 6467145260
Mailing Telephone 6467145260
Enumeration Date 2017-11-20
Last Update Date 2017-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
401784 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 401784 05

Office Location

Street Address 2629 210TH ST
City BAYSIDE
State NY
Zip Code 11360-2446

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City BAYSIDE
Zip Code 11360

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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