NPI 1689291379

Young Soo Ha

Practitioner Community Health Worker Bayside, NY

Practice location

Address: 20305 32nd Ave, Bayside, NY 11361-1021
Phone: (718) 939-6137

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in New York →

Registry record

NPI: 1689291379
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2020
Record last updated: 29 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.