Kwon, Young-Ju

Kwon, Young-Ju is an individual health care provider with primary practice located at 1775 York Ave , New York NY 10128-6900. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Kwon, Young-Ju can be contacted via phone (212) 427-9895.

Contact Information

Primary practice address
1775 York Ave New York NY 10128-6900
Phone: (212) 427-9895
Fax: (718) 815-8122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 213207 New York
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 213207 New York

Profile Details

NPI number 1790780062
LBN Legal business name Kwon, Young-Ju
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Sep 16th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790780062 NPPES
New York MEDICAID 02001590

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