NPI 1649818634 · live from the CMS NPI Registry
Florence Jiyoung Ahn, PA-C
Physician Assistant, Medical in New Haven, CT. National Provider Identifier 1649818634, active.
NPI record
| NPI | 1649818634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 20 York Street, Cb-2041, New Haven, CT 06510 |
| Practice phone | 203-688-4748 |
| Mailing address | 20 York Street, Cb-329, New Haven, CT 06510 |
| Enumerated | December 20, 2019 |
| Last updated | February 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 0010-09478 (NC) |
| Physician Assistant, Medical primary | 363AM0700X | 4713 (CT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.