Provider Demographics
NPI:1982999710
Name:YOO, SUN-YOUNG (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:SUN-YOUNG
Middle Name:
Last Name:YOO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-4347
Mailing Address - Country:US
Mailing Address - Phone:201-843-5920
Mailing Address - Fax:201-843-5921
Practice Address - Street 1:60 ESSEX ST
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-4347
Practice Address - Country:US
Practice Address - Phone:201-843-5920
Practice Address - Fax:201-843-5921
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02749100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist