Healthcare Provider Details

I. General information

NPI: 1619192911
Provider Name (Legal Business Name): JUNE YIJUAN HOU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 03/30/2023
Certification Date: 03/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1695 EASTCHESTER RD #601
BRONX NY
10461-2374
US

IV. Provider business mailing address

123 YORK ST 16J
NEW HAVEN CT
06511-5614
US

V. Phone/Fax

Practice location:
  • Phone: 718-405-8082
  • Fax:
Mailing address:
  • Phone: 508-826-2921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number243817
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number243817
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: