MEDICARE: YOUN YOUNG HUR

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	163WC0200X	Critical Care Medicine Registered Nurse	781605	NY

General Provider Information

NPI Number	:	1235967365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUN YOUNG HUR

Provider Business Mailing Address
First Line	:	5746 225TH ST
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11364-2043
Country	:	US
Telephone Number	:	516-509-3784
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 BERGEN ST STE 1106
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07107-3001
Country	:	US
Telephone Number	:	973-972-2513
Fax Number	:

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

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	09/18/2025

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Directions to “ YOUN YOUNG HUR ” Practice Location

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