Healthcare Provider Details

I. General information

NPI: 1730741844
Provider Name (Legal Business Name): JOY JUHEE HUR DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2019
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7309 SENECA RD N STE 109
HORNELL NY
14843-9691
US

IV. Provider business mailing address

7309 SENECA RD N STE 109
HORNELL NY
14843-9691
US

V. Phone/Fax

Practice location:
  • Phone: 607-385-3700
  • Fax: 607-385-3160
Mailing address:
  • Phone: 607-385-3700
  • Fax: 607-385-3160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLP05011
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number325407
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: