Provider Demographics
NPI:1518609569
Name:KRANCI, JUNE Y
Entity Type:Individual
Prefix:
First Name:JUNE
Middle Name:Y
Last Name:KRANCI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JIWOON
Other - Middle Name:
Other - Last Name:YOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3632 29TH ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3206
Mailing Address - Country:US
Mailing Address - Phone:309-945-6540
Mailing Address - Fax:
Practice Address - Street 1:3632 29TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3206
Practice Address - Country:US
Practice Address - Phone:309-945-6540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY770960163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse