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Yiji Suh
Student in an Organized Health Care Education/Training Program in Port Jefferson, New York
NPI 1316649171

Yiji Suh is a Student in an Organized Health Care Education/Training Program based in Port Jefferson, NY. Yiji Suh practices in Port Jefferson, NY. The NPI Number for Yiji Suh is 1316649171 and holds a License No. (New York).

The current practice location address for Yiji Suh is 200 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-6553 and via fax at 631-474-6332.

Location: 200 Belle Terre Rd, Port Jefferson, NY, 11777-1968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316649171
Provider Name
Yiji Suh
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Belle Terre Rd, Port Jefferson, NY, 11777-1968
Phone Number
631-474-6553
Fax Number
631-474-6332
Provider Enumeration Date
03/17/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
236 05 DC
institution
Provider Business Practice Location Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1968
Phone Number
631-474-6553
Fax Number
631-474-6332
person
Provider Business Mailing Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1968
Phone Number
631-474-6553
Fax Number
631-474-6332
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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