Healthcare Provider Details

I. General information

NPI: 1851203657
Provider Name (Legal Business Name): HWAYOUNG KWEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 PONDSIDE DR
WHITE PLAINS NY
10607-1366
US

IV. Provider business mailing address

404 PONDSIDE DR
WHITE PLAINS NY
10607-1366
US

V. Phone/Fax

Practice location:
  • Phone: 914-441-7790
  • Fax:
Mailing address:
  • Phone: 914-441-7790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF358805
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: