Young-Ju Kwon is a Specialist in Staten Island, New York. Young-Ju Kwon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Young-Ju Kwon is 1790780062. The last update date is 2013-09-16.
Young-Ju Kwon's current location address is 302 Manor Rd, Staten Island, New York. You can contact this provider via phone number 7188151000 and fax number 7188158122. The mailing address for Young-Ju Kwon is 302 Manor Rd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Young-Ju Kwon |
|---|---|
| Address | 302 Manor Rd, Staten Island, New York |
| Phone Number | 7188151000 |
| Fax Number | 7188158122 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790780062 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2013-09-16 |
Provider Mailing Address Detail
| Address | 302 Manor Rd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 1031424080 |
| Phone Number | 7188151000 |
| Fax Number | 7188158122 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 213207 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2001590 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Young-Ju Kwon by the Centers for Medicare & Medicaid Services?
The Young-Ju Kwon has been assigned the NPI (National Provider Identifier) 1790780062. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Young-Ju Kwon located?
The Young-Ju Kwon is located at 302 Manor Rd, Staten Island, NY 1031424080.
What is Young-Ju Kwon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Young-Ju Kwon is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Young-Ju Kwon receive the assignment of its 1790780062 from the Centers for Medicare & Medicaid Services?
The Young-Ju Kwon was issued its 1790780062 by the Centers for Medicare & Medicaid Services on 2005-06-14.
When was the information related to Young-Ju Kwon most recently updated or refreshed?
The details pertaining to the Young-Ju Kwon, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-16.
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