Healthcare Provider Details
I. General information
NPI: 1538072921
Provider Name (Legal Business Name): HOPE PULMONARY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/25/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3550 LEXINGTON AVE
MOHEGAN LAKE NY
10547-1273
US
IV. Provider business mailing address
4254 235TH ST # 2
LITTLE NECK NY
11363-1525
US
V. Phone/Fax
- Phone: 347-620-2803
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
JOON
HA
WOO
Title or Position: OWNER
Credential: DO
Phone: 347-620-2803