Provider Demographics
NPI:1649234873
Name:KANG, WOO YUP (DC)
Entity Type:Individual
Prefix:DR
First Name:WOO YUP
Middle Name:
Last Name:KANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2811
Mailing Address - Country:US
Mailing Address - Phone:516-623-2277
Mailing Address - Fax:516-623-2525
Practice Address - Street 1:2016 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2811
Practice Address - Country:US
Practice Address - Phone:516-623-2277
Practice Address - Fax:516-623-2525
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-14
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9060111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor