Provider Demographics
NPI:1467667832
Name:KWON, SEAN JINSUNG (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:JINSUNG
Last Name:KWON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 LONGVIEW AVE
Mailing Address - Street 2:5TH FLOOR, SUITE 500
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-849-7655
Mailing Address - Fax:914-849-7692
Practice Address - Street 1:2 LONGVIEW AVE
Practice Address - Street 2:SUITE 500, 5TH FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-849-7655
Practice Address - Fax:914-849-7692
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251535208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)