Individual
DR. JONG D HYUN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 BONA VENTURE AVE, WALLKIN, NY 12589-4423
(845) 895-3920
(845) 778-4736
Mailing address
96 BONA VENTURE AVE, WALLKIN, NY 12589-4423
(845) 895-3920
(845) 778-4736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
114362
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00537715
—
NY
Enumeration date
03/29/2006
Last updated
07/08/2007
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