Provider Demographics
NPI:1831292986
Name:HUHR, MARK KYOUNG YUHL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:KYOUNG YUHL
Last Name:HUHR
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 1:3 HUNTINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-472-9611
Mailing Address - Fax:718-364-3199
Practice Address - Street 1:3130 GRAND CONCOURSE
Practice Address - Street 2:#1C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458
Practice Address - Country:US
Practice Address - Phone:718-364-3415
Practice Address - Fax:718-364-3199
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY163585208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00906405Medicaid
NY00906405Medicaid
48D181Medicare ID - Type Unspecified