Individual
YONG OK SON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 1ST AVE, NEW YORK, NY 10029-7404
(212) 423-8300
Mailing address
68 MINUTEMAN CIR, ORANGEBURG, NY 10962-2721
(845) 359-5915
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
116458
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246135
—
NY
Enumeration date
11/29/2006
Last updated
07/08/2007
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