Healthcare Provider Details

I. General information

NPI: 1841284023
Provider Name (Legal Business Name): CHRISTINA H KWON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 05/11/2021
Certification Date: 05/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 E 32ND ST FL 9
NEW YORK NY
10016-5563
US

IV. Provider business mailing address

316 E 30TH ST FL 2
NEW YORK NY
10016-8366
US

V. Phone/Fax

Practice location:
  • Phone: 212-725-2660
  • Fax: 212-684-4712
Mailing address:
  • Phone: 212-614-0039
  • Fax: 212-253-9631

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number208247
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: