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Physician Compare National (NPI:1508976127)

HEALTHCARE PROVIDER: YONGKYU HWANG MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1508976127
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5991989550
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110406000859
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HWANG
Individual professional last name
Provider First Name YONGKYU
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1972
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 14204 BAYSIDE AVE
Group Practice or individual's line 1 address
Line 2 Street Address 3U
Group Practice or individual's line 2 address
City FLUSHING
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 113542300
Group Practice or individual's zip code (9 digits when available)
Phone Number 7183536200
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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