Provider Demographics
NPI:1659437861
Name:CHUN, WOO HYUN (MD)
Entity Type:Individual
Prefix:DR
First Name:WOO
Middle Name:HYUN
Last Name:CHUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 WEST 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223
Mailing Address - Country:US
Mailing Address - Phone:917-282-7369
Mailing Address - Fax:718-615-6389
Practice Address - Street 1:1516 ORIENTAL BLOUVARD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-646-4441
Practice Address - Fax:718-615-6389
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132170174400000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00717166Medicaid
NYC04630Medicare UPIN
C04639Medicare UPIN
NY00717166Medicaid