Individual
HYUN JONG YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
215-19 39TH AVE, BAYSIDE, NY 11361-2114
(718) 229-0707
(718) 229-0547
Mailing address
215-19 39TH AVE, BAYSIDE, NY 11361-2114
(718) 229-0707
(718) 229-0547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
NY
2251X0800X
Orthopedic Physical Therapist
Primary
034532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03757971
—
NY
01
—
A100092374
MEDICARE
NY
Enumeration date
01/29/2013
Last updated
03/10/2017
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