Provider Demographics
NPI:1649208372
Name:HWANG, SEAN T (MD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:T
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:611 NORTHERN BLVD
Mailing Address - Street 2:HOFSTRA NORTHWELL COMPREHENSIVE EPILEPSY CENTER
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5207
Mailing Address - Country:US
Mailing Address - Phone:516-325-7000
Mailing Address - Fax:516-325-7001
Practice Address - Street 1:611 NORTHERN BLVD
Practice Address - Street 2:HOFSTRA NORTHWELL COMPREHENSIVE EPILEPSY CENTER
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5207
Practice Address - Country:US
Practice Address - Phone:516-325-7000
Practice Address - Fax:516-325-7001
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2397602084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02772796Medicaid
NY679N21Medicare ID - Type Unspecified