SOON KWON (NPI# 1194984773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194984773 |
Entity Type | Individual |
Full Name | SOON KWON |
Practice Address |
1276 Fulton Ave Rm 208 Bronx NY 10456-3402 |
Practice Telephone | 7189018918 |
Practice Fax Number | 7189018918 |
Mailing Telephone | (718) 901-8918 |
Enumeration Date | 2008-06-09 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
055964 | NY | Dental Providers |
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN014056 | GA | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 2704 | OH | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
4536 Chamblee Dunwoody Rd, Suite 211, Atlanta, GA 303386200 | 7704551238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851728984 | Soon Cheol Kwon | Dentist | 1414 South Miller St., Suite S, Santa Maria, CA 93454 | 2013-10-03 |
1407964448 | Soon H Kwon | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-29 |
Street Address |
1276 FULTON AVE RM 208 |
City | BRONX |
State | NY |
Zip Code | 10456-3402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427044536 | Timothy J Vittorio | Internal Medicine | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2005-09-23 |
1336655877 | Jennifer Dunbar | Social Worker | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-12-20 |
1346761491 | Maria Didamo | Social Worker | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-06-29 |
1710408927 | Bethany Anne Altschwager | Counselor | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-06-28 |
1649708686 | Dorcas Colon | Social Worker | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2017-06-02 |
1962958538 | Veronika Vozniak | Nurse Practitioner | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2016-09-01 |
1467807123 | Ningkun Li | Dentist | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2016-05-02 |
1841658408 | Lora M Wells | Occupational Therapist | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2016-02-10 |
1588077531 | Onelys Carrasquillo | Ophthalmology | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2014-06-07 |
1356693790 | Danielle Cardinali | Speech-Language Pathologist | 1276 Fulton Ave Rm 208, Bronx, NY 10456-3402 | 2012-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
Find all providers in zip 10456 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689178873 | Amanda Etwaria Brijlall | Dentist | 2723 Eastchester Rd, Bronx, NY 10469-5922 | 2018-03-21 |
1295275220 | Gun Hill Dental PC | Dentist | 301 E Gun Hill Rd, Bronx, NY 10467-2269 | 2017-02-23 |
1821400300 | Danielle Lombardi | Dentist | 1248 Crosby Ave, Bronx, NY 10461-6130 | 2014-06-02 |
1235567488 | Mojdeh Faraz | Dentist | 1400 Pelham Parkway South, Jacobi Medical Center, Bronx, NY 10461 | 2013-10-25 |
1679805733 | Rima Parikh | Dentist | 2750 Fish Ave, 2nd Fl, Bronx, NY 10469-5519 | 2010-01-31 |
1386767119 | Robert William Frankel | Dentist | 3317 Bainbridge Ave, Bronx, NY 10467-2801 | 2007-04-08 |
1104908904 | Jayati C Bhattacharyya | Dentist | 1516 Jarret Pl, Suite 100, Bronx, NY 10461-2607 | 2006-10-20 |
1801864848 | Varsha Divecha Shah | Dentist | 3005 Grand Concourse, Pediatric Dentist, Bronx, NY 10468-1428 | 2006-03-08 |
1972009959 | Leila Hazavei | Dentist | 111 East 210th Street, Bronx, NY 10467 | 2018-03-30 |
1215430327 | Kevin Zhang | Dentist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2018-03-14 |
Find all providers in BRONX |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.