Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 198540 | NY |
NPI | 1174612592 |
---|---|
Provider Name | Dr. Hajoon Chun |
First Address | Flushing, NY 11355-2200 |
Second Address | Flushing, NY 11355-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 18/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G25115 | (02) | NY |