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NPI Code Detail

MEDICARE: MR. YOUNGJE WOO M.D.

MEDICARE: MR. YOUNGJE WOO M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1477487411
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YOUNGJE WOO M.D.
Provider Business Mailing Address
First Line : 1400 PELHAM PARKWAY SOUTH
Second Line : BUILDING 4 - ROOM 6S11
City : BRONX
State : NY
Zip : 10461
Country : US
Telephone Number : 718-918-5006
Fax Number :
Provider Business Practice Location Address
First Line : 182 E. 210TH STREET - (LOWER LEVEL)
Second Line :
City : BRONX
State : NY
Zip : 10467
Country : US
Telephone Number : 718-696-2584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2026
Last Update Date : 06/12/2026

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