MEDICARE: YONG EUN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	337901	NY

General Provider Information

NPI Number	:	1366192841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONG EUN MD

Provider Business Mailing Address
First Line	:	506 LENOX AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1802
Country	:	US
Telephone Number	:	212-939-5462
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 LENOX AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1802
Country	:	US
Telephone Number	:	212-939-1406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2022
Last Update Date	:	12/09/2025

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Directions to “ YONG EUN MD” Practice Location

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