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NPI Code Detail

MEDICARE: ESTHER JINKYUNG SEO

MEDICARE: ESTHER JINKYUNG SEO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist062521NY

General Provider Information

NPI Number : 1447811542
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESTHER JINKYUNG SEO
Provider Business Mailing Address
First Line : 3011 PARSONS BLVD APT 7E
Second Line :
City : FLUSHING
State : NY
Zip : 11354-2309
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 CHATSWORTH AVE
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2903
Country : US
Telephone Number : 833-410-3914
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2019
Last Update Date : 06/28/2019

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