Individual
CHUNGDUCK STEPHAN KWON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 NARROWS RD N APT 1207, STATEN ISLAND, NY 10304-1546
(718) 815-2393
(646) 935-1916
Mailing address
755 NARROWS RD N, STATEN ISLAND, NY 10304-1548
(718) 815-2393
(646) 935-1916
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
112120
NY
Other
Enumeration date
10/17/2005
Last updated
04/02/2015
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