Individual
UN JUNG KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-5277
(212) 305-3530
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-5277
(212) 305-3530
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036084665
IL
2084N0400X
Neurology Physician
Primary
152037
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084665
—
IL
Enumeration date
01/16/2007
Last updated
07/11/2013
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