Dr JIYOUNG BACK is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.
NEW JERSEY KIDNEY CARE LLC
510 31ST ST
BSMT
UNION CITY
NJ
070873907
Tel: 2018663322
| Npi | 1598170656 |
| Pac Id | 0749546232 |
| Professional Enrollment Id | I20171116001778 |
| Last Name | BACK |
| First Name | JIYOUNG |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | NEW JERSEY KIDNEY CARE LLC |
| Group Practice Pac Id | 1052695137 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 510 31ST ST |
| Line 2 Street Address | BSMT |
| Marker Of Address Line 2 Suppression | |
| City | UNION CITY |
| State | NJ |
| Zip Code | 070873907 |
| Phone Number | 2018663322 |
| Hospital Affiliation Ccn 1 | 310074 |
| Hospital Affiliation Lbn 1 | JERSEY CITY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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