Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | R88827 | NY |
NPI | 1083020267 |
---|---|
Provider Name | Dr. Joon Suk Hwang |
First Address | Binghamton, NY 13905-1467 |
Second Address | Binghamton, NY 13905-4246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2014 |
Last Update Date | 08/08/2014 |