Provider Demographics
NPI:1497938153
Name:CHON, NAMHYANG
Entity Type:Individual
Prefix:MRS
First Name:NAMHYANG
Middle Name:
Last Name:CHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 GRACE ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3906
Mailing Address - Country:US
Mailing Address - Phone:516-932-3805
Mailing Address - Fax:
Practice Address - Street 1:16219 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4034
Practice Address - Country:US
Practice Address - Phone:718-739-3451
Practice Address - Fax:718-725-9431
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043168183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY043168OtherPHARMACIST LICENSE NUMBER