Provider Demographics
NPI:1225037039
Name:CHOO, SUNG YOON (MD)
Entity Type:Individual
Prefix:
First Name:SUNG
Middle Name:YOON
Last Name:CHOO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:BLOOD BANK, BOX 1024
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6500
Mailing Address - Country:US
Mailing Address - Phone:212-241-6784
Mailing Address - Fax:212-534-7491
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:BLOOD BANK, BOX 1024
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-6784
Practice Address - Fax:212-534-7491
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2009-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY221535207ZB0001X, 207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5Q6111Medicare ID - Type Unspecified
NYH06273Medicare UPIN