Provider Demographics
NPI:1457096521
Name:RYU, SEUNG HEE
Entity Type:Individual
Prefix:
First Name:SEUNG HEE
Middle Name:
Last Name:RYU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 BROADWAY WOODHULL MEDICAL CENTER
Mailing Address - Street 2:8F, MEDICAL LIBRARY
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206
Mailing Address - Country:US
Mailing Address - Phone:718-963-5821
Mailing Address - Fax:
Practice Address - Street 1:760 BROADWAY WOODHILL MEDICAL CENTER
Practice Address - Street 2:8F MEDICAL LIBRARY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-963-5821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2024-03-26
Deactivation Date:2023-03-20
Deactivation Code:
Reactivation Date:2024-03-26
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program