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NPI Code Detail

MEDICARE: CHRISTINA H KWON MD

MEDICARE: CHRISTINA H KWON 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
1207VG0400XGynecology Physician208247NY

Other Identifiers

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

General Provider Information

NPI Number : 1841284023
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA H KWON MD
Provider Business Mailing Address
First Line : 316 E 30TH ST FL 2
Second Line :
City : NEW YORK
State : NY
Zip : 10016-8366
Country : US
Telephone Number : 212-614-0039
Fax Number : 212-253-9631
Provider Business Practice Location Address
First Line : 38 E 32ND ST FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5563
Country : US
Telephone Number : 212-725-2660
Fax Number : 212-684-4712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 05/11/2021

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