DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHUNGDUCK STEPHAN KWON, MD

Active Sole Proprietor

Anatomic Pathology & Clinical Pathology · STATEN ISLAND, NY

Registration Details

NPI Number
1689663379
Provider Type
Individual
Gender
Male
NPI Issued
Oct 17, 2005 (20.512454459787 yrs)
Last Updated
Apr 2, 2015
License
112120 (NY)
Sole Proprietor
Yes

Practice Information

Address
755 NARROWS RD N APT 1207
STATEN ISLAND, NY, 103041546
Browse NY providers · Browse ZIP 10304
Phone
7188152393
Fax
6469351916
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

Other Anatomic Pathology & Clinical Pathology Providers in STATEN ISLAND, NY

Name Credential NPI
JOCELYN VILLANUEVA MD 1083603823
KOKILA MODY MD 1104894146
MONIKA WRZOLEK MD 1700854742
JOTICA TALWAR MD 1720056377
LILIANA ALEXA MD 1093774580
EMIL L PETROV MD 1639139934
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.