DR. HANJO KWON-ANDERSON (NPI# 1134506173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134506173 |
| Entity Type | Individual |
| Full Name | DR. HANJO KWON-ANDERSON |
| Other Name | MISS HANJO KWON |
| Credential | D.O. |
| Practice Address |
12 Ellendale Ct East Northport NY 11731-6406 |
| Practice Telephone | 6316364696 |
| Mailing Telephone | 6316364696 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
287807 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Stony Brook University Hospital, Department of Pediatrics Hsc T-11/040, Stony Brook, NY 117948111 | 6314442020 | 6314442894 |
| Street Address |
12 ELLENDALE CT |
| City | EAST NORTHPORT |
| State | NY |
| Zip Code | 11731-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675899 | Deborah Carol Kassan | Physical Therapist | 457 Clay Pitts Road, East Northport, NY 11731 | 2020-09-30 |
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1013492016 | Kim Cooke | Social Worker | 42 Rofay Drive, East Northport, NY 11731 | 2018-09-26 |
| 1588163547 | Christine Catherine Ambrosio | Specialist | 229 Laured Rd East, East Northport, NY 11731 | 2018-02-06 |
| 1043729965 | Gavin Theofield | Social Worker | 418 2nd Avenue W, East Northport, NY 11731 | 2017-09-22 |
| 1518486489 | Brynn Katherine Maxwell | Specialist | 38 Furwood Drive, East Northport, NY 11731 | 2017-09-12 |
| 1598209934 | Clemencia Naruta | Registered Nurse | 413 Second Street, East Northport, NY 11731 | 2016-12-05 |
| 1033669460 | Danielle Franzone | Social Worker | 1 Klaibar Lane, East Northport, NY 11731 | 2016-10-10 |
| 1619323789 | Camille Martin | Registered Nurse | 5 Gildare Drive, East Northport, NY 11731 | 2016-05-09 |
| 1922467331 | Saadia Z Yunus | Marriage & Family Therapist | 554 Larkfield Rd Ste 10i, East Northport, NY 11731 | 2016-02-12 |
| Find all providers in zip 11731 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255481 | Wolf Ridge Medical Wellness | Preventive Medicine | 100 New Broadway Apt 404, Rensselaer, NY 12144-2159 | 2020-01-27 |
| 1306400130 | Ashley Lynn Vail | Preventive Medicine | 2001 E Main St, Endicott, NY 13760-5622 | 2019-04-26 |
| 1699260760 | Travel Health Medical, PC | Preventive Medicine | 110 E 55th St Fl 16, New York, NY 10022-4568 | 2018-06-29 |
| 1619356979 | Gabriel Feldman | Preventive Medicine | 205 W 88th St, 7g, New York, NY 10024-2351 | 2015-05-20 |
| 1962897710 | Matthew Dounel Md Mph Pllc | Preventive Medicine | 3516 Francis Lewis Blvd Unit A, Flushing, NY 11358-1954 | 2015-03-30 |
| 1013335843 | Robert Sheldon Epstein | Preventive Medicine | 75 Tweed Blvd, Nyack, NY 10960-4911 | 2014-03-29 |
| 1770914459 | Carl Li | Preventive Medicine | 270 Farber Hall, 3435 Main Street, Buffalo, NY 14214-8001 | 2013-12-06 |
| 1811339559 | Richard Irving Kirshenbaum | Preventive Medicine | 313 Whitman Dr, Brooklyn, NY 11234-6935 | 2013-07-23 |
| 1487994646 | Lice Busters Inc | Preventive Medicine | 306 Avenue N, Brooklyn, NY 11230-5511 | 2013-02-26 |
| 1003154642 | Steven Jonas | Preventive Medicine | Dept Prev Med Stony Brook University, Hsc L-3, Rm. 113a, Stony Brook, NY 11794-0001 | 2013-01-16 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
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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.