Provider Demographics
NPI:1366450884
Name:YOON, CHUNG HEE (MD)
Entity Type:Individual
Prefix:
First Name:CHUNG
Middle Name:HEE
Last Name:YOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4008 73RD ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3051
Mailing Address - Country:US
Mailing Address - Phone:718-507-9700
Mailing Address - Fax:718-779-0028
Practice Address - Street 1:4008 73RD ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3051
Practice Address - Country:US
Practice Address - Phone:718-507-9700
Practice Address - Fax:718-779-0028
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY128820208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics