Near Me Dermatology West Seneca PLLC
Nurse Practitioner, Family in West Seneca, NY. Organization (NPI-2).
NPI number1730856436
StatusActive
Last updated in NPPESAug 30, 2021
Details
- NPI
- 1730856436
- Entity type
- Organization (NPI-2)
- Legal business name
- Near Me Dermatology West Seneca PLLC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2021
- Certification date
- Aug 30, 2021
- Last updated
- Aug 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
550 Orchard Park Rd Ste 110West Seneca, NY 14224-2646
Phone 213-880-2538
Mailing address
1170 Maple RdWilliamsville, NY 14221-3440
Authorized official
Youn Jea Kim
Owner
2138802538
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