Provider Demographics
NPI:1861433955
Name:YUN, SUK-HYEON (MD)
Entity type:Individual
Prefix:
First Name:SUK-HYEON
Middle Name:
Last Name:YUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 E PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-1915
Mailing Address - Country:US
Mailing Address - Phone:631-425-3887
Mailing Address - Fax:631-425-2193
Practice Address - Street 1:33 WALT WHITMAN RD
Practice Address - Street 2:SUITE 235
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746
Practice Address - Country:US
Practice Address - Phone:631-549-1480
Practice Address - Fax:631-549-2511
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188377207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01770149Medicaid
NY01770149Medicaid
G01120Medicare UPIN