Healthcare Provider Details

I. General information

NPI: 1861982985
Provider Name (Legal Business Name): JOSEPH YOUNGHUN YOON MD, MSC, MAED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: YOUNGHUN YOON MD, MSC, MAED

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2696
US

IV. Provider business mailing address

1 GUSTAVE L. LEVY PLACE BOX 1264
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 617-643-0596
  • Fax:
Mailing address:
  • Phone: 212-241-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number315449
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License Number315449
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number315449
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number315449
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number315449
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: