Individual ProviderSoo Hyun AhnStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave Levy Place, New York, NY 10029(212) 824-8069PECOS EnrollmentBased on the most recent information from CMS, provider Soo Hyun Ahn does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1093398828Provider TypeIndividualFull NameAhn, Soo HyunCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/29/2021Last Updated4/29/2021Contact InformationPractice LocationPractice AddressOne Gustave Levy Place, New York, NY 10029Phone(212) 824-8069FaxUnlisted FaxMailing LocationMailing Address165 E 90th St Apt 3c, New York, NY 10128-2375PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer