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Provider Information for 1750624532


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Dr. ERIC YOON MD


Sex: Male

NPI: 1750624532
Last Updated: 2024-08-21
Certification Date: 2024-08-21

Details

NameValue
NPI1750624532
Enumeration Date2013-03-31
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 47 NEW SCOTLAND AVE
DEPT. OF GASTROENTEROLOGY
ALBANY, NY 12208-3412
United States

Phone: 518-262-3095 | Fax:
 
Primary Practice Address 983 PARK AVE STE 1D
NEW YORK, NY 10028-0808
United States

Phone: 212-427-8761 | Fax:
 
Secondary Practice Address(es)

47 NEW SCOTLAND AVE
DEPT. OF GASTROENTEROLOGY
ALBANY, NY 12208-3412
United States

Phone: 518-262-3095 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)63824Albany Medical Center
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 207R00000X - Internal Medicine NY288928
No 390200000X - Student in an Organized Health Care Education/Training Program
Yes 207RG0100X - Internal Medicine - GastroenterologyNY288928