Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 183534 | NY |
NPI | 1235235318 |
---|---|
Provider Name | Haeyoung Ko Hwang |
First Address | Chappaqua, NY 10514-3045 |
Second Address | Croton, NY 10520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 16/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01249018 | (05) | NY |
F20247 | (02) | NY |