Provider Demographics
NPI:1104558543
Name:NOH, JUNE
Entity type:Individual
Prefix:
First Name:JUNE
Middle Name:
Last Name:NOH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JUNE
Other - Middle Name:
Other - Last Name:NOH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:24812 NORTHERN BLVD STE 2C
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1208
Mailing Address - Country:US
Mailing Address - Phone:516-441-7753
Mailing Address - Fax:
Practice Address - Street 1:24812 NORTHERN BLVD STE 2C
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-1208
Practice Address - Country:US
Practice Address - Phone:516-441-7753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist