Provider Demographics
NPI:1467478560
Name:YUN, EDWARD CHUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:CHUNG
Last Name:YUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:150 WHITE PLAINS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-5535
Mailing Address - Country:US
Mailing Address - Phone:914-631-2895
Mailing Address - Fax:914-631-0094
Practice Address - Street 1:362 N BROADWAY
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591
Practice Address - Country:US
Practice Address - Phone:914-269-1740
Practice Address - Fax:914-881-4013
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA88479207R00000X
NY243857207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FY0282753OtherDEA