Provider Demographics
NPI:1790097095
Name:DIANA Y. YOON-SCHWARTZ, MD, PC
Entity Type:Organization
Organization Name:DIANA Y. YOON-SCHWARTZ, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:YOON-SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:631-988-8722
Mailing Address - Street 1:6 PADDOCK LN
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1209
Mailing Address - Country:US
Mailing Address - Phone:631-988-8722
Mailing Address - Fax:631-532-1371
Practice Address - Street 1:124 MAIN ST STE 16
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-6922
Practice Address - Country:US
Practice Address - Phone:631-988-8722
Practice Address - Fax:631-532-1371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY243261208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty