Individual
DR. SAM SUNGHYUN YOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-2000
Mailing address
633 3RD AVE, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
153441
MA
2086X0206X
Surgical Oncology Physician
Primary
220505
NY
2086X0206X
Surgical Oncology Physician
MD437995
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005298
—
MA
01
—
737593
TUFTS HEALTH PLAN
MA
01
—
J25978
BCBS MA
MA
Enumeration date
12/16/2005
Last updated
04/07/2015
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