Provider Demographics
NPI:1033426945
Name:WOO, JEAN K (RPA-C)
Entity Type:Individual
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First Name:JEAN
Middle Name:K
Last Name:WOO
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Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:444 MERRICK RD STE LL2
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2400
Mailing Address - Country:US
Mailing Address - Phone:516-599-4498
Mailing Address - Fax:516-887-6647
Practice Address - Street 1:15921 CROSS BAY BLVD
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3121
Practice Address - Country:US
Practice Address - Phone:718-641-7575
Practice Address - Fax:718-641-7576
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2021-05-07
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Provider Licenses
StateLicense IDTaxonomies
NY014165-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical