Provider Demographics
NPI:1437236171
Name:YOON, MICHELE YUNA (MD, MS)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:YUNA
Last Name:YOON
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 E 79TH ST
Mailing Address - Street 2:UNIT 30C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1466
Mailing Address - Country:US
Mailing Address - Phone:212-913-9465
Mailing Address - Fax:646-921-8898
Practice Address - Street 1:681 LEXINGTON AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2625
Practice Address - Country:US
Practice Address - Phone:212-913-9465
Practice Address - Fax:646-921-8898
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI51263-020207X00000X
CAA121620207XS0106X
IL036.159808207XS0106X
390200000X
NY272274207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program