Jsm Wellness Np in Acute Care P.c.
NPI #1255137592 in Stony Brook, New York
Provider Information
- NPI Number
- 1255137592
- Entity Type
- Organization
- Organization Name
- Jsm Wellness Np in Acute Care P.c.
- Primary Specialty
- Nurse Practitioner - Acute Care
- Enumeration Date
- Feb 19, 2025
- Last Updated
- Feb 19, 2025
Practice Location
- Address
- 215 HALLOCK RD STE 6A
- City
- Stony Brook
- State
- New York
- ZIP Code
- 11790-3077
- Phone
- (917) 563-1824
Authorized Official
- Name
- JI SOO MOON, DNP
- Title
- PRESIDENT
- Phone
- (917) 945-2497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Acute Care — Acute Care |
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