DR. Jin Bong Ha, O.D

NPI #1154423135 in Woodside, New York

Provider Information

NPI Number: 1154423135
Entity Type: Individual
Name: DR. Jin Bong Ha, O.D
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D
Enumeration Date: Sep 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3960 54TH ST APT 6T
City: Woodside
State: New York
ZIP Code: 11377-4215
Phone: (917) 518-7375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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