Organization
ST. LUKE'S CORNWALL JV, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNG HAN MD (MD)
(845) 458-9000
Entity
Organization
Contact information
Practice address
15 LAUREL AVE, SUITE 100, CORNWALL, NY 12518-1403
(845) 458-9000
(845) 458-9001
Mailing address
15 LAUREL AVE, SUITE 100, CORNWALL, NY 12518-1403
(845) 458-9000
(845) 458-9001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
04/03/2009
Last updated
04/21/2016
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