Youngmi Seo

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F309336-01 Issued in NY

Practice address

148 Roslyn Rd
Mineola, NY 11501-3005

Phone

(646) 422-9133

NPI assigned

Dec 26, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1700425519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-560-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 ROSLYN RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013005",
            "telephone_number": "646-422-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "YOUNGMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-26",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F309336-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Abavgiq79@gmail.com",
            "affiliation": "N",
            "address_1": "148 Roslyn Rd",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115013005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ys1428@nyu.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Port Washington Blvd",
            "city": "Roslyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115761347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Edward Gerard Seiter, PA
• Elena Selbs, M.D.
• Hailey Selikoff, MD
• Catherine R Sellinger, MD
• Seniorbridge Family Companies (Ny), Inc.
• Alexander Seraskeris, PA-C
• Lauren J Serrone, RPAC
• Simerjit Kaur Sethi, M.S., CCC-SLP
• Arman Alberto Sorin Shadaloey, MD, MSC
• Anuja Shah, MD

• Primary Care Nurse Practitioner in Mineola, NY
• Providers in Mineola, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.