Provider Demographics
NPI:1770391567
Name:YONSEI PMC PAIN MANAGEMENT P C
Entity type:Organization
Organization Name:YONSEI PMC PAIN MANAGEMENT P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-710-7986
Mailing Address - Street 1:232 BROAD AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1565
Mailing Address - Country:US
Mailing Address - Phone:201-710-7986
Mailing Address - Fax:201-710-7599
Practice Address - Street 1:232 BROAD AVE STE 206
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1565
Practice Address - Country:US
Practice Address - Phone:201-710-7986
Practice Address - Fax:201-710-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-25
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty