Provider Demographics
NPI:1467848853
Name:WOO, EVELYN SEUNGMIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:SEUNGMIN
Last Name:WOO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E 37TH ST APT 36K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0139
Mailing Address - Country:US
Mailing Address - Phone:929-855-7887
Mailing Address - Fax:
Practice Address - Street 1:119 WEST 57TH STREET
Practice Address - Street 2:SUITE 700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1001
Practice Address - Country:US
Practice Address - Phone:929-855-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI026913001223P0700X
NY0598081223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics