MEDICARE: DR. HYE-CHUN HUR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	221604	MA
2	207V00000X	Obstetrics & Gynecology Physician	221604	MA
3	207V00000X	Obstetrics & Gynecology Physician	293458	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043283773
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HYE-CHUN HUR MD

Provider Business Mailing Address
First Line	:	150 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2508
Country	:	US
Telephone Number	:	718-630-8471
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-2508
Country	:	US
Telephone Number	:	718-630-8471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/24/2023

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Directions to “ DR. HYE-CHUN HUR MD” Practice Location

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