Provider Demographics
NPI:1629124706
Name:YOON, CECILIA J (MD)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:J
Last Name:YOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:53 W 23RD ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-4237
Mailing Address - Country:US
Mailing Address - Phone:212-746-7200
Mailing Address - Fax:212-746-7166
Practice Address - Street 1:53 W 23RD ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-4237
Practice Address - Country:US
Practice Address - Phone:212-746-7200
Practice Address - Fax:212-746-7166
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204135207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG89606Medicare UPIN