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NPI Code Detail

MEDICARE: DR. RICHARD YEUP HWANG M.D.

MEDICARE: DR. RICHARD YEUP HWANG M.D.
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNJ
2208600000XSurgery Physician308992NY

General Provider Information

NPI Number : 1841654134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD YEUP HWANG M.D.
Provider Business Mailing Address
First Line : 10 MEDICAL PLZ STE 203
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2101
Country : US
Telephone Number : 516-676-1060
Fax Number :
Provider Business Practice Location Address
First Line : 101 SAINT ANDREWS LN
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2263
Country : US
Telephone Number : 516-823-8430
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2016
Last Update Date : 07/05/2022

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