Jae Song

NPI #1225887888 in Melville, New York

Provider Information

NPI Number: 1225887888
Entity Type: Individual
Name: Jae Song
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: May 16, 2024
Last Updated: May 16, 2024

Practice Location

Address: 265 BROADHOLLOW RD
City: Melville
State: New York
ZIP Code: 11747-4833
Phone: (631) 815-2735

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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