Provider Demographics
NPI:1548829047
Name:HON, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:HON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 JUSTICE AVE
Mailing Address - Street 2:SUITE CI, CJ
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-851-8881
Mailing Address - Fax:808-515-7035
Practice Address - Street 1:8708 JUSTICE AVE
Practice Address - Street 2:SUITE C-I, C-J
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1804
Practice Address - Country:US
Practice Address - Phone:718-851-8881
Practice Address - Fax:808-515-7035
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-07
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY31548201207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty