Search › New York › 171100000X
Jaewan So
NPI 1396043642 · on the registry since 2011 · sole proprietor
Practice
- Address
- 424 2nd Ave W
East Northport, NY 11731 - Phone
- (631) 368-2359
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-10
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