Provider Demographics
NPI:1649657602
Name:POON, BRIAN CHIN HO (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CHIN HO
Last Name:POON
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 61ST ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-4211
Mailing Address - Country:US
Mailing Address - Phone:718-333-5537
Mailing Address - Fax:718-709-7589
Practice Address - Street 1:745 61ST ST FL 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-4211
Practice Address - Country:US
Practice Address - Phone:718-333-5537
Practice Address - Fax:718-709-7589
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334374207R00000X
IL036.146053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine