Search › New York › 207RE0101X
Ji Ae Yoon
NPI 1104453745 · on the registry since 2020
Practice
- Address
- 185 Central Ave
Bethpage, NY 11714 - Phone
- (516) 758-8600
- Fax
- (929) 455-9813
- Organisation at this address
- King Kullen Pharmacies Corp
King Kullen Pharmacies CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York