Individual
OK KYONG CHAEKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-6365
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(212) 312-5080
(212) 312-5998
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
263766
NY
207ZH0000X
Hematology (Pathology) Physician
Primary
263766
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03454175
—
NY
01
—
A400066556
MEDICARE
NY
Enumeration date
09/26/2005
Last updated
03/25/2021
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