Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jinwook Seo, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1497422141

Jinwook Seo, PHYSICIANASSISTANT is a Physician Assistant in Fort Drum, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021

Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone: (315) 772-2778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 028646 (NY)

Record details

NPI number1497422141
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 29, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026
Mailing address11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603

Other providers in Fort Drum