Individual
KYE HYON BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1104 COMMONS AVE, CORTLAND, NY 13045-1643
(607) 753-0700
(607) 756-6333
Mailing address
PO BOX 628, CORTLAND, NY 13045-0628
(607) 753-0700
(607) 756-6333
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
134918
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00567762
—
NY
05
—
00567886
—
NY
01
—
BA0927
GROUP MEDICARE PIN
NY
Enumeration date
02/22/2006
Last updated
11/26/2012
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